First Free Church Waivers

As a parent or legal guardian, I hereby give permission for my child to participate in the following activity (the "Activity")...      

JUNIOR HIGH SPRING RETREAT, MARCH 12-13, 2021

I understand that FIRST EVANGELICAL FREE CHURCH carries medical and hospitalization insurance coverage consistent with the exclusions, limitations, and terms thereof, which may provide benefits over and above any personal medical and hospitalization coverages available to my family. I understand that any personal medical and hospitalization insurance available to my family will provide primary coverage and the ministry's medical and hospitalization coverage (subject to the exclusions, limitations, and provisions in the ministry's policy) may provide secondary or excess coverage. I agree to apply first for benefits from the personal hospitalization and medical coverages available to my family, if any, before applying for benefits that may be available from the ministry's medical and hospitalization coverage. I further understand that, in the event, my child requires medical or dental treatment while engaged in the Activity, reasonable efforts will be made to contact me; however, if I cannot be reached, I hereby consent and give permission to the ministry's sponsor or any adult counselor acting on behalf of the ministry with respect to the Activity, as agent for me, to consent to an X-ray examination; injections; anesthesia; medical, dental or surgical diagnosis and treatment; and hospital care and treatment advised and supervised by a physician, surgeon, or dentist (as appropriate) licensed to practice under the laws of the state where the services are rendered, either as an outpatient or in any hospital. To the best of my knowledge, I have listed above all of my child's medical allergies, medical problems, and other pertinent information. My child has permission to participate in all prescribed activities except as noted by me.