IOHUMC Children's Parental Consent and Liability Release Form

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Please complete and submit this form. No participation will be allowed without a completed form. This form expires 13 months after the date that it is signed. A new form will be required annually.

Child's Information

 
 
 
 
 
 
 
 
 
 
 
 
 
Health Information

 
 
 
 
 
 
 
Your student will need to bring a copy of your insurance card, it must be given to the Ministry Leader before participation. 
By signing below, I agree to give my child permission to participate in Children’s and/or Student Ministry activities and to the following conditions:

• Medical Treatment Permission: I understand that in the event of a medical emergency, every attempt will be made to contact me with the information provided on this form. In the event I cannot be reached, I consent to give the Adult Leader(s) to whom my child’s care has been entrusted, consent to obtain any emergency medical and any further medical attention or procedure deemed necessary by the physician giving care. I understand my insurance will be used in the event medical attention is needed.
• Liability release: In consideration for allowing the Participant to participate in children’s and/or youth ministry activities, we (I), the undersigned, do hereby release, forever discharge, and agree to hold harmless Isle of Hope United Methodist Church, its employees, volunteers, and agents (collectively referred to as the “Church”) from any and all liability, claims, and demands for personal injury, sickness, death; or property damage and expenses of any nature incurred while participating in said ministries.
• Transportation Permission: I give permission for my child to ride in any vehicle designated by the adult(s) to whom my child’s care has been entrusted, while attending and participating in events sponsored by the children’s and youth ministries.
• Photograph and Image Release: I give the Church consent without further consideration or compensation to use any photos or images of my child taken during ministry activities for use with various forms of communication, including social media. In no case will your child’s name be used in any communications.
 
 

Description

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