As parent or legal guardian, I hereby give permission for my child to participate in the IGNITE Music in Missions Tour, June 16-21, 2019. I further understand that, in the event my child requires medical or dental treatment while on the trip, reasonable efforts will be made to contact me; however, if I cannot be reached, I hereby consent and give permission to the adult counselors acting on behalf of the ministry for this trip, as agent for me to consent to any X-ray examination; injections, anesthesia, medical, dental, or surgical diagnosis and treatment; and hospital care and treatment advised and supervised by a physician, surgeon, or dentist licensed to practice under the laws of the state where the services are to be rendered, either as an outpatient or in a hospital. To the best of my knowledge, I have listed on the health form my child’s allergies, medication being taken, medical problems and other pertinent information. My child has permission to participate in all prescribed activities except as noted by me.