I give my permission for my child to receive pain relievers (such as Tylenol, Advil, etc.), antacids, and Benadryl from the supervising adults at this church function.

I understand that in the event medical intervention is needed, every attempt will be made to contact immediately the persons listed on this form. In the event I cannot be reached in an emergency during the activity dates shown on this form, I hereby give my permission to the physician or dentist selected by the activity director to hospitalize, to secure medical treatment and/ or an injection, anesthesia, or surgery for my child as deemed necessary.

I understand all reasonable safety precautions will be taken at all times by East Cross Church and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold East Cross Church, its leaders, employees, and volunteers liable for damages, losses, diseases, or injuries incurred by my child listed on this form.