In the event child's name* becomes ill or sustains an injury while participating in the PALS program of First Baptist Church Hartselle, AL, I, the undersigned parent/guardian, give my permission to those in charge to take whatever steps are necessary to stop bleeding and to administer first aid, including emergency transportation if I cannot be reached immediately.I also consent to an x-ray examination, anesthesia, medical or dental or surgical diagnosis and treatment and hospital care, and the administration of drugs or medicine to be rendered to my child under the general or specialized supervision, and upon the advice of a duly licensed physician and/or surgeon. I agree to be responsible for any medical expenses incurred.If parent/guardian refuses to sign, instructions must be attached stating what procedure the program is to follow in an emergency.
The undersigned parent/guardian hereby gives permission to PALS for my child child's name to walk with his/her group to the library once per month.
The undersigned parent/legal guardian hereby gives permission to PALS for child's name