I give permission to my child/children to attend Just Like Me Vacation Bible School at Wesley Memorial United Methodist Church at 1901 Thomson Rd, Charlottesville, VA on July 22 – July 25 , 2024. This consent form gives permission to seek whatever medical attention is deemed necessary, and releases Wesley Memorial United Methodist Church and its staff of any liability against personal losses of named child/children.

I/We the undersigned have legal custody of the student(s) named below, a minor(s), and give our consent for him/her to attend events being organized by Wesley Memorial United Methodist Church.

I/We understand that there are inherent risks involved in any ministry or athletic event, and I/We hereby release Wesley Memorial United Methodist 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 Wesley Memorial United Methodist 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 information provided on Wesley Memorial United Methodist Church Vacation Bible School registration form is accurate at this date for the student(s) named below. I/We also agree to bring my/our child/children home at my/our expense should they become ill or if deemed necessary by the Children’s Ministries Staff Member.