PERMISSION & MEDICAL RELEASE 2025-26
The undersigned or legal guardians of the child (named at the top of this form) give permission for him/her to attend and participate in Valley Community Youth Choir rehearsals, performances, and other events. I agree to direct my child to cooperate and conform with the directions and instructions of the supervisors in charge of the activity. We release Valley Community Presbyterian Church and its agents, employees, officers, directors, and adult leaders of and from any liability for accident, injury, damage, or loss to said child or to property of said child.
Pursuant to ORS 126.030, we also hereby give our permission for, and provide this special power of attorney to any leaders who are 18 years of age or older, to consent to any medical or surgical emergency treatment of the child which such persons deem advisable if a parent or legal guardian cannot reasonably be contacted when the child is presented for treatment. I hereby give permission to the physician selected by the supervisors then present to render medical treatment deemed necessary and appropriate by the physician.
I agree that in the event my child is injured as a result of his or her participating in this youth activity, including transportation to and from such activity, through the negligence (active or passive) of the church or any of its agents or employees, recourse for the payment of any resulting hospital, medical or related costs and expenses will first be had against any accident, hospital or medical insurance, or any available benefit plan of mine or my spouse.
By typing my name below, I agree to this policy.
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