2022 EBC Student Consent Form
Permission to Participate/Consent to Obtain Medical Care/Medical and Contact Information

Contact us at (423) 462-2620 or josh@eastanallee.church
Website: www.eastanallee.church
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Child's Name *
Parent's Name *
My child has my permission to participate in any trip or outing sponsored by Eastanallee Baptist Church.   I acknowledge that I have had an opportunity to discuss with representatives of the Church the nature of the activities my child will participate in, including arrangements for travel, food, housing, and supervision, and, on my behalf and on behalf of my child, I will assume all reasonable risks associated with these activities. *
Required
I understand in the event of my child being unwilling to submit to the leadership of the EBC Student Ministry team may result in the removal of my child from the event.  I understand if my child continues to be non-compliant, the process for discipline will be:                   1) EBC leadership will address the issue with my child. 2) EBC leadership will supervise the student calling home and discussing the issue at hand with their parent/ guardian.                                                                     3) EBC leadership will call parent/guardian requesting the removal of their child from the gathering.  I understand the removal of my child from an EBC gathering will be my full responsibility in way of transportation and cost in this endeavor. *
Required
I authorize the Church to obtain medical care for my child if he/she becomes ill or is injured during an activity and I agree to bear the cost of any medical care provided for him/her.  I understand and acknowledge if I do not have existing health insurance coverage, Eastanallee Baptist Church does not assume liability for any accidents or injuries, and neither the Church nor any of its employees will be held liable in the event of an accident or injury. *
Required
I have completed the Medical Information below to the best of my knowledge.  I understand the information on this form is vital for any first response to all medical treatment my child may need to receive.   *
Required
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