The 2022/2023 Permission Form & Medical Waiver will apply to all student events, trips and projects from September 1, 2022 through August 31, 2023. In the event that a student needs medical attention, this waiver will provide an adequate and current record of the student’s medical information.
I, the parent and/or legal guardian of First Name* Last Name* a minor, hereby acknowledge that said minor is presently under my care, custody and control. I hereby give said minor permission to participate in any and all activities at and with Telephone Baptist Church of Telephone, Texas, for which he/she, with my approval, registers to participate. I further expressly grant permission for said minor to participate in all activities while an active participant on trips and church events. In the event there arises an emergency necessitating medical or surgical attention, I hereby consent and give my permission to Telephone Baptist Church of Telephone, Texas staff, its representatives, the sponsors, or any attending physicians to make such decisions and to perform such medical treatments and/or surgery upon said minor which may, in their sole discretion, be necessary and proper under the circumstances. I, the undersigned parent and/or legal guardian of said minor, do hereby release, acquit, discharge and covenant to indemnify and hold harmless Telephone Baptist Church of Telephone, Texas, its staff and/or representatives, the sponsors, and/or any attending physician from any and all claims, damages, actions, and causes of action of any nature, including but not limited to negligence, damages, and liabilities, arising out of the treatment of any sickness and/or accident and any related risks and dangers thereto, from financial responsibility for all medical treatment of any sickness and/or accident, and from financial responsibility for all medical treatment provided during the attendance of any children/youth events. I also assume responsibility for providing and paying for return transportation of said minor from the event location should it be necessary for disciplinary reasons.