Please enter any special notes that we should know about your child. For example, allergies, special instructions, etc.
Medical Release: As a parent/guardian, I give my permission for the above minor to attend Awana activities including regular club nights and any special activities. I authorize treatment under the direction of any licensed physician of the above minor in the event of a medical emergency which in the opinion of the attending physician my endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted after reasonable effort has been made to reach me by phone. I will not hold the church, or their staff, administration, or workers, liable for any injury to or loss of possessions by the above minor during any activity either on the church property or away, including regular meetings as well as special events.
YES, I give permission as stated above for my child regarding medical care
NO, I do NOT give permission for my child to receive medical care
Updated: 0000-00-00 00:00:00