MEDICAL AUTHORIZATION
In the event of a change in the medical condition of my student, I will notify in writing Northeast Houston Baptist Church (NEHBC) prior to my student's participation in future events. I understand that I can revoke this medical authorization at any time upon writing to NEHBC.
I hereby give permission to NEHBC and the physician selected by NEHBC representative to secure medical treatment that may be deemed necessary to ensure my student's well-being (including hospitalization and surgery). I, the undersigned, do hereby release NEHBC from any and all claims, demands, actions or cause of action arising out of damage or injury while my student participates in NEHBC sponsored activities.