If necessary, describe in detail the nature and severity of any physical and/or psychological ailments, illness, or conditions to which your child is subject and of which the staff should be aware of, and what, if any action of protection is required. Submit this information below, include names of medications and dosages that must be taken.

I/We the undersigned have legal custody of the child named above, a minor, and have given our consent for him/her to attend events being organized by the Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician
and/or hospital personnel designated by the Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and
will, to the best of my/our knowledge, still be in force for the child named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the student ministries staff member. 

I/we grant permission to Church of the Master United Methodist to photograph my child(ren) during activities and use the photographs in audio-visual and printed materials without compensation or approval rights. Photos may be used on the church website or church Facebook/Instagram page. According to church policy, church employees will not publish a child’s name along with any photos without express permission of parent or guardian.

I/we give permission for our child(ren) to participate in field trips. These groups will be accompanied by Church of the Master volunteers or the Director of Children’s Ministries and at least one other adult on each trip.