Emergency Medical Treatment Authorization
By electronically signing, and as the parent (or legal guardian) of the listed child, I consent for my child to participate in the activities for VBS, June 2015. (Please indicate any medical concerns, allergies or restrictions on the activities of your child/youth in the appropriate field above.) I represent that my child/youth is physically fit and has the necessary skills to safely participate in these activities. I also understand and give consent for my child to walk to these events chaperoned by parent volunteers.
MEDICAL TREATMENT AUTHORIZATION
It is my understanding that the Church will attempt to notify me in case of a medical emergency involving my child/youth. If the church cannot reach me, then I authorize the church to hire a doctor or health-care professional, and I give my permission to the doctor or other health-care professional, to provide the medical services he or she may deem necessary. I will pay for any medical expenses so incurred. I will notify the church if I feel there are any health considerations that would prevent my child/youth from participation in any of the activities.
LIABILITY RELEASE FORM & GENERAL RELEASE OF LIABILITY
By electronically signing, I hereby release and forever discharge Southside United Methodist Church & it’s volunteers, their officers, agents, servants, and employees, from all claims and demands the undersigned now has or hereafter may have on account of or in any way arising from personal injuries known or unknown to the undersigned at the present time and property damages resulting or that results from any occurrence which may happen to my child while participating in activities sponsored by the Southside United Methodist Church.