ASBURY MEMORIAL UMC
CHILD ACTIVITY PERMISSION and MEDICAL RELEASE
I give permission for my child to attend and participate in any Asbury Memorial United Methodist Church (AMUMC) activity. I understand and acknowledge that while AMUMC and its agents, staff members, volunteers, and other personnel shall make all reasonable efforts to protect the health, safety and welfare of my child, that my child will be participating in strenuous physical activities, sports and recreation, which bear the risk of severe or even terminal physical injury. I therefore give permission for my child to participate in these activities, having been fully advised of the potential risks of participation thereto.
Furthermore, as parent and legal guardian of my child, I authorize AMUMC designated adult leadership, in case of life-threatening emergencies, to call upon 911 and responding personnel and to make emergent lifesaving decisions in the absence of reaching myself or designated ER contact. I understand and agree that, in the event my child suffers an injury that requires medical treatment, the AMUMC may authorize immediate treatment and/or first aid regardless of whether they are able to contact me regarding my child’s treatment.
FURTHER PERMISSIONS
· This health history is correct as far as I know, and the person herein described has permission to engage in all child activities except as noted.
· I understand that ASBURY MEMORIAL United Methodist Church of Columbia, SC may use photographs, digital images, and videos of my child for purpose of website, Facebook, directories and printed images within the church buildings. Names will never be associated with said images without further specific permission.
· I am aware of the Safe Sanctuary Policies of AMUMC and have requested a copy if so desired.
By submitting this form, I acknowledge I have read and understand the above information.