Permission/Medical Release Information
I give the children listed on this form permission to attend all Jones Memorial United Methodist Church (JMUMC) children events during 2017 - 2018. I certify that my child is in good health and is able to participate in normal activities. In the event of any accident or illness, the JMUMC’s adult leaders will take any necessary action at that time. In case of medical emergency, I give permission for JMUMC’s adult leaders to secure proper medical treatment for my children named above. I understand that every effort will be made to contact me in the event of such an emergency. I hereby release JMUMC and its adult leaders from any liability for medical costs or problems that may arise during this event. I also understand that under no condition is the use or possession of alcoholic beverages or non-prescription drugs permitted. Should my child be sent home due to discipline problems or an emergency I will be responsible for covering this added expense.
PLEASE NOTE: For severe allergies or chronic medical conditions please contact the Children’s Ministry office with additional information at firstname.lastname@example.org