I hereby give my permission and approval as parent and/or guardian for above-named student to participate in the following Student Ministry Events. It is my understanding that this trip and the activities of this trip are approved by the church and is appropriately chaperoned. I hereby release CITY ON A HILL UMC, its staff, and volunteers from responsibility and liability for any injury, illness, medical bills, or loss of life that my child may sustain during these activities.
In the event of an emergency, I hereby authorize an adult leader from the CITY ON A HILL UMC group to act as an agent for me and to consent to any x-ray examination, medical, dental or surgical diagnosis, treatment, and hospital care advised and supervised by a physician, surgeon, dentist, (as appropriate) licensed to practice under the laws of the state where the services are rendered, whether at a doctor’s office or in any hospital. I expect to be contacted as soon as possible in the case of such injury that requires medical attention.