Medical Release and Authorization
PERMISSION FOR TREATMENT
In the event that I/we the undersigned parent(s) or guardian(s) of above named camper, a minor, cannot be reached, I/we do hereby authorize adult workers of Redeemer Church of Madison as agent(s) for the undersigned, to consent to any examinations, x-rays, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is rendered under the general or special supervision of any physician, surgeon, anesthesiologist, dentist, or other qualified medical personnel, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.
RELEASE OF LIABILITY
I/We, the undersigned, do hereby release, remise and forever discharge Redeemer Church of Madison and all adult workers of Redeemer Church of Madison from any and all claims, demands, actions or cause of action, past, present, or future arising out of any damage or injury while participating in a church sponsored trip or event.