Parental Release Statement:
Child above has my permission to participate in activities with the Bridge Church JBQ team. I, as parent/guardian understand that I will be notified in case of an emergency. I also authorize the leaders of this team to administer or gain emergency medical care in the case of an accident, injury, or serious illness when I cannot be reached. I understand that my personal insurance will be the primary insurance policy to be billed in the event of any medical treatment or evaluation and First Assembly of God will be billed as the secondary insurance policy. Any medical expenses incurred that insurance will not pay will be my responsibility as parent/guardian.