I,___________________________________(parent/guardian’s name) give permission for my child(ren) to attend Christmas Caroling
with Salem Covenant Church
We will leave the church at 6 pm and then go directly to nearby neighborhoods in West Duluth to perform Christmas carols from 6:00 pm –7:30pm. In the event of accident or illness (to/from or during the event), I authorize
Salem Covenant to obtain necessary medical treatment for my children. I understand that if any emergency arises, every effort will be made
to contact me. However, if I cannot be reached, I authorize Salem Covenant to secure the services of a licensed physician to provide all care
necessary for my children. I assume all responsibility for any medical bills, costs, or demands for personal injury, sickness, or death, as
well as property damages and costs of any nature which may be incurred by my child.
I authorize Salem Covenant to use my child’s picture or video recording for educational
and/or marketing purposes. Parents/guardians who do not wish their child to be photographed or filmed should so notify the Office in writing.
Please have forms back by 12/13/17
You can also fill it out online at salemcovenant.org