· I do herby state that I have legal custody of this child, a minor, who resides with me. While this minor is under the care of Radiant Life Church, I hereby authorize any pastor, director, or other responsible person of said church to consent to any X-ray, examination, anesthetic, medical or surgical treatment, and hospital care, to be rendered to this minor under the general or special supervision and on the advise of any physician or surgeon licensed to practice in the state of Ohio, when such medical or surgical treatment is necessary. I am aware that the administration on non-prescription medications (Tylenol, anti-acids, etc.) may be necessary. I willfully consent for my child to receive these if deemed necessary.

· I do hereby give permission for Radiant Life Church and its approved leadership to transport this child to and from church events and retreats.

· No fireworks, smoking, drugs, drinking of alcoholic beverages, weapons of any sort, or profanity is allowed on our church property or taken to an event held elsewhere. We reserve the right to inspect the contents of all personal belongings at any time. The confiscation and/or disposal of improper contents is up to the discretion of the Radiant Life Church Staff and Leadership Board.

· I understand that any pictures taken while attending Radiant Life Church or an event with said church will become the property of Radiant Life Church and may be used for promotional purposes.