Medical Authorization Form
We are excited to have your child participate in Cedar Mill Christ UMC's youth group! Please fill out this form for the 2021-2022 school year, ending August 31, 2022.
Sign in to Google to save your progress. Learn more
My child may travel during events by church vehicle or automobile driven by an adult chaperone/leader who is age 21 or over with a valid driver's license. *
I grant permission for my child to receive emergency medical care if necessary. I give the adult chaperones/leaders the authority to act on my behalf with respect to my child's health and safety while with the youth group with the understanding that I or the emergency contact listed will be contacted as soon as possible should the need arise. I accept full responsibility for any expenses incurred providing medical treatment for my child. *
I release Cedar Mill Christ UMC and its representatives from liability in the event of accidental injury, illness, or death. *
I grant Cedar Mill Christ UMC permission to use photographs of my child for any legal use, including but not limited to publicity, illustration, advertising, and web content. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Christ United Methodist Church. Report Abuse