To Whom It May Concern: As the parent or guardian, I do herewith authorize the treatment by a qualified and licensed medical doctor of the following minor in the event of a medical emergency which in the opinion of the attending physician may endanger the life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. I also release Ninth & O Baptist Church, other organizations, and individuals involved, of any liability for any accident incurred during the 2017-2018 AWANA Clubs activities.
This release is intended for use during the entire year, August 2017 through May 2018, and includes both club meetings and outings (e.g., AWANA Games, Missions Events, Field Trips, etc.). This release form is completed and signed of my own will and with the sole purpose of authorizing medical treatment under emergency in my absence.