Youth/Child Permission and Medical Consent Form

I hereby give permission and approval as parent(s) and/or guardian for                                                                   

to attend any and all trips and activities sponsored by First United Methodist Church of Oak Ridge, TN, hereafter known as First UMC, effective the date this form is signed. It is my understanding these trips, activities, and tours are approved by the church and are appropriately chaperoned by leadership and parents. This consent is in effect until written revocation is made or until graduation from high school, whichever comes first. 

I understand the above named youth is expected to obey all rules and regulations which will be state prior to the event. In case of serious violation of any rules and/or regulations, I understand I may be contacted and will be expected to make arrangements, including any expenses, for my youth to return home.

In the event the above named youth/child becomes ill or sustains an injury while on a First UMC event or activity, I give my permission to take said participant to a doctor or hospital and hereby authorize medical treatment including, but not limited to, emergency surgery or procedures, and assume the responsibility of all costs if necessary.

I understand this consent will apply to all emergency situations, and that a copy of this form is as valid as the original. I further understand it is my responsibility to update this form should information change.

I realize participating in a First UMC event implies consent for the above names youth to be photographed while participating in the event. Further, I realize these photographs or videos may be used in promotion of First UMC activities in print and electronic media or any other way the church chooses.

Is the student allowed to self-medicate?

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1350 Oak Ridge Turnpike, Oak Ridge, TN 37830

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