We, the undersigned, are the parents, the parent(s) having legal custody, or the legal guardian of the child/children named above. We hereby give our consent and permission for our child/children to participate in Highland UMC's Vacation Bible School, June 17-21, 2019.
In the event that our child is injured during any VBS activity, and as a result, requires medical treatment or attention, we hereby consent to any such treatment as deemed necessary by a licensed physician and/or other professional medical personnel. In the event a physician and/or hospital personnel refuses to administer such treatment without express consent and attempts to contact us by phone at the telephone numbers indicated below are unsuccessful, or if emergency circumstances do not afford the opportunity to contact us, we hereby authorize Amy Takahashi, Director of Children's Ministries or other staff members of Highland UMC to give consent on our behalf.
In the event it becomes necessary for Amy Takahashi to give consent on our behalf, we agree to hold her and the church harmless from and against any and all claims, actions, damages, liability, costs and expenses, including reasonable attorney's fees, that result from injury to person or property or loss of life arising from the giving of consent, so long as treatment is administered by or under the supervision of a licensed physician and/or professional medical personnel. We further agree that if treatment is administered, we will be responsible for the cost of such treatment.