I also agree to hold harmless the AWANA leadership, Christ Fellowship and AWANA Clubs International, their agents and representatives of and from any injuries or losses my child may sustain as a result of any negligent or allegedly negligent act and/or omission that occurs during or in connection with any AWANA activity. Furthermore, should Christ Fellowship incur any medical expenses related to my child’s emergency, I agree to reimburse Christ Fellowship for all medical expenses.
The parent does hereby authorize the agent, as agent for the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of, any physician and surgeon licensed under laws of the State or County in which the medical care is being sought and on the medical staff of any hospital; or to consent to treatment to be rendered to the minor by any dentist licensed under the laws of the State or County in which the dental care is being sought.
It is understood that this authorization is given in advance of any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care being required but is given to provide authority and power on the part of the agent to diagnosis, treatment, or hospital care which the aforementioned surgeon, physician and/or dentists, in the exercise of his/her best judgment, may deem advisable.
The parent hereby authorizes any hospital, which has provided treatment to the minor to surrender physical custody of the minor to the agent to the agent upon the completion of treatment. This authorization is given pursuant to the laws of the State or County in which the medical or dental care if provided.
The parent hereby agrees to fully pay all costs of medical or dental care incurred for the minor by the agent, or the organization, under this authorization.
These authorizations shall remain effective from August 29, 2018, until May 15, 2019, unless sooner revoked in writing delivered to said agent.
(Christ Fellowship: Herein "Organization"), Keith Baldridge, Awana Commander (Herein "Agent")