This permission form covers dates June 1, 2022 – September 5, 2023:
I/we give permission for my above-named child to participate in the Sunday morning, mid-week and other Children’s Ministry Programs of Moorpark Presbyterian Church. I/we hereby release
Moorpark Presbyterian Church, its staff and sponsors, from responsibility and liability for any injury
or illness that my child may sustain during any activity. I/we further understand that we and/or our
insurance carrier assume full responsibility for all payments and costs of said emergency
treatments.
I/we also understand that my child may be photographed during these programs while participating in the various activities. I authorize
permission for photos/videos of my child to appear on the website of Moorpark Presbyterian Church at
MPCLife.org as well as in highlighting children’s programs on the church campus. In either
case, my child’s name will not be used. Do you understand and agree? *