Please complete the following statement of consent and release of liability. As a parent or legal guardian, you remain fully responsible for any legal responsibility, which may result from any personal actions taken by the named student. I hereby understand and consent to the participation for my child (listed below) in the event listed above.

Medical expenses, related to sickness or injury of the minor (listed below), are not covered by Britton Christian Church. The undersigned parent or guardian must notify the group leader of any special medical requirements, medical conditions, restrictions or allergies of the minor.

I hereby authorize and appoint the designated supervisor to authorize any medical treatment and to admit such minor to any hospital or medical office as needed. Parental or guardian permission by phone will be obtained when the time and conditions permit.