The Undersigned hereby gives permission for the child named below (the “CHILD”) to participate in activities of the FUMC, including but not limited to recreational activities, field trips and travel to events held outside Wiggins FUMC. Further, in the event that medical treatment for the CHILD is required during the course of said activities, I hereby give my authorization to any adult who then has care and control of the CHILD to consent to medical treatment of the CHILD.I understand that an effort will be made to contact me concerning such medical treatment as soon as practicable and that I will be financially responsible for any and all medical treatment provided pursuant to this consent.I hereby affirm that I am the parent and/or managing conservator or guardian of the CHILD and have full legal consent, shall remain in full legal authority to consent to his or her medical treatment. This consent shall remain in full legal authority to consent to his or her medical treatment. This consent shall remain in full force until revoked in writing by me and delivered to the offices or a legal representative of FUMC. I hereby authorize any health care provider to accept a photocopy of this form as effective. Further, by this document I hereby give my consent for the release of medical records and/or history of the CHILD to any health care provider supplying services pursuant to the consent of medical treatment.