Purpose of the following information: To enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under church authority, when parents or guardians cannot be reached.
In the event reasonable attempts to contact me at the number below have been unsuccessful, I hereby give consent for: (1) The administrtian of any medical treatment deemed necessary by the (physican) below.
In the event the desginated preferred practioner is not available, by another licensed physician or densits; and (2) the transfer of the child to my preferred or any other hospital reasonably accessible.
Registration costs is $15 per child. Please keep a copy of your payment receipt to bring with you.
Please use the link below for your payment and select "Sunday School" in the "fund" field and reference the name(s) of your child in the comments field.