The safety of your child is our primary concern. Precautions will be taken for their well-being and protection.
I/we, the Parents or guardians named below, authorize an Arrowsmith Pastor or one of Arrowsmith
Baptist Church’s Youth/Student Ministry Program Personnel to sign a consent for medical treatment and
to authorize any physician or hospital to provide medical assessment, treatment or procedures for
the participant named above.
I/we, named below, undertake and agree to indemnify and hold harmless Youth/Student Ministry Program
Personnel, Arrowsmith Baptist Church, and its leaders from and against any loss, damage or injury
suffered by the participant as a result of being part of the activities of Arrowsmith Baptist
Church, as well as of any medical treatment authorized by the supervising individuals representing
Arrowsmith Baptist Church. This consent and authorization is effective only when participating in
to events sponsored by Arrowsmith Baptist Church.