Information received is confidential and is being gathered for the purposes of serving your child while in the care of PDAC Church. Any medical information collected here serves to authorize PDAC Church, and its staff and volunteers, to obtain medical assistance in emergencies.
This consent and authorization is effective when participating in regular United programming including events at Paramount Drive Alliance Church and at some low-risk events where parents are dropping off and picking up at that location. Examples of this in the past have included LaserMania and joining with Gateway Church for their youth night (details about these sorts of events will be communicated well in advance to parents). We have also used this form to cover online events during the pandemic. Events with a higher level of risk (for example: a retreat weekend) will have their own event permission forms and are not covered by this form.
I, the parent or guardian named above, authorize Nathan Martin or one of the Pastoral Staff to sign a consent form for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above. I/we, named above, undertake and agree to indemnify and hold blameless PDAC, it's Personnel, and Elders from and against any loss, damage or injury suffered by the participant as a result of being part of this event, as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in United youth events.