Fill out a Medical Release form for each child under 18
Optional for adults
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- Depending on your device's setup you may need to take a photo of your insurance card and upload it in the "Take Photo" section rather than having a photo taken through this form automatically uploaded to the form.
- If you are filling out this form on a device that does not have a touch screen you will need to sign the form when you arrive at sessions (it will be printed for you).
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I give permission for my child named below to participate in the Illinois Yearly Meeting Young Friends Program and to participate in all planned program activities, both on and off campus. I hereby release Illinois Yearly Meeting, its staff and volunteers, from liability for any injury or illness that my child may experience during the Yearly Meeting. In the event of an emergency, I hereby authorize Yearly Meeting organizers, or the below-named sponsor, to consent to any medical or surgical care advised by licensed health care providers. I hereby release Illinois Yearly Meeting from any liability, legal or financial, for emergency care provided to my child. I expect to be informed of emergency care as soon as possible.