I understand that transportation during this Christ UMC sponsored Youth event will be provided by Youth Leaders and/or chaperones 25 years of age or older. Transportation may be by private vehicle or rental vehicle.
I acknowledge that while the church will make every attempt to meet the recommendations for safety, they cannot guarantee that background clearance will be available for all individuals present at this function. They will attempt to have at least one male and one female chaperone, with appropriate clearance, in attendance at all times.
In the event of a medical or dental emergency, I authorize any Youth Leader or adult chaperone of Christ United Methodist Church, as an agent for me, to consent to any examination or treatment which is deemed advisable by, and is rendered by or under the supervision of, any physician or surgeon licensed under provisions of the Medical Practice Act including, but not limited to, hospitalization, surgery, medication, radiological procedures, transfusions, and anesthesia. Such examination, diagnosis and/or treatment may occur at any licensed hospital, emergency room, clinic, physician’s office, surgeon’s office, or dental facility. I understand that all reasonable attempts will be made to contact me prior to the initiation of any examination, diagnosis and/or treatment.
I release Christ United Methodist Church, its staff, volunteers, and chaperones from liability for any illness or injury en route to, during, or returning from this event and from any responsibility and/or liability resulting from any act authorized by this document.