Student Ministry Medical Release & Permission Form

Date

Parent/Guardian Information

Agreement/Waiver

I request that my child be allowed to participate in the Cedar Crest Bible Fellowship Church Student Ministry gatherings whether on church property or with their small groups in other locations.

I have read the Student Ministry Guidelines 2020-2021 and agree to encourage my child to follow them to the best of their ability.

I further give my permission for my child to ride in any vehicle designated by the student ministry leadership of Cedar Crest BFC, in whose care my child has been entrusted while participating student ministry activities

In consideration of permitting my child to attend and/or participate, I do hereby, for myself and my child waive and release any and all claims that I might have against the Church, its student ministry, the student ministry pastor, and any parties volunteering on behalf of the Church or its student ministry from all actions, claims, damages, costs, expenses, or damages of any kind growing out of or related to the Activities.

I acknowledge that this is a full and complete release for all injuries, illnesses, and damages which the above student may sustain as a result of participating in the any of the activities during the week including but not limited to group games, sports tournaments, using exercise equipment, swimming, and potential contact with COVID-19.

I authorize the treatment of the student by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment, or undue discomfort if delayed, while said minor is participating in the activity, including transportation to and from the site. This authority is granted only after a reasonable attempt has been made to contact me, the parent/guardian.

Cedar Crest has my permission to post pictures taken of my child at events on their website and social media accounts.

Medical History

If necessary, describe in detail the nature and severity of any physical and/or psychological ailment, illness, propensity, weakness, limitation, handicap, disability, or condition to which your child is subject and of which the staff should be aware, and what, if any action of protection is required on account thereof. Submit this notification in writing and attach it to this form. Include names of medications and dosages that must be taken.

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