I authorize an adult, in whose care the minor has been entrusted, to consent to any temperature checks, x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care, to be rendered to the minor due to the general or special supervision and on the advice of any physician or dentist, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.                                                                     

The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization. Should it be necessary for our (my child) to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.

The undersigned does also hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has be entrusted while attending and participating in events sponsored by Calvary Students. 

The undersigned does also hereby give permission for photo and video of my child to be posted to calvaryweb.net, Calvary Student’s Facebook page, or related social media accounts. Any photographs or videos will only be used to promote Calvary Student Ministries, and be used by Calvary Student staff and/or leaders.