Authorization for Emergency Medical Treatment & Release of Liability
I, {parentName}, hereby authorize a representative of Village Presbyterian Church to give consent for medical treatment of my child, {name}, in the event of illness or injury. I further release Village Presbyterian Church, its employees, and its volunteers from any liability in the event of any accident en route, during, or returning from any church events and/or trips. In case of emergency, I understand that every effort will be made to contact me as a parent or guardian. In the event that I and/or the above listed emergency contact person cannot be reached, I hereby give permission to the physician or medical professionals selected by the church representative to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for my child. I further express my appreciation for the church, its staff, and the volunteers for giving of their time and resources to organize events and trips for youth. Furthermore, I understand that my child can be sent home for any reason. This documented authorization is effective for the individual(s) named above for the period of August 15, 2022 through August 14, 2023.
I hereby give my child permission to take part in mission trips, camping trips, ski trips, retreats, and any other excursions under appropriate supervision of a representative of Village Presbyterian Church.