I hereby give my permission for all children listed above to ride the van, participate in activities, and attend Brock United Methodist Church or any other church related functions. I understand that my children will be under adult supervision. I further understand that by initialing this permission slip, I release and hold harmless Brock United Methodist Church and all other church related functions. By initialing this permission slip, I release and hold harmless the trustees, officers, employees, and any volunteers of Brock United Methodist Church from any liability, past or future, fully and completely. I authorize the staff or designated medical professionals and/or volunteers to administer emergency medical assistance if I cannot be reached, or until I arrive. *
Please Initial (First, Middle, Last) Below