I, the undersigned, being the parent or legal guardian of the child named above, do hereby consent to the participation of my child in ALL of the regularly scheduled activities of Refuge Student Ministries at Bethel Assembly of God, Chambersburg, PA 17201, from January 1, 2017—December 31, 2017, including: trips, camp outs, swimming, boating, hiking, sporting events, and any other activities customarily associated with a church’s Youth Ministry. Furthermore, I certify that my child is physically fit and adequately trained to participate in such events (except as noted).
I understand that I will be notified in case of a medical emergency involving my child. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. I understand that the Bethel Assembly of God will not be responsible for medical expenses incurred, but that such expenses will be my responsibility as parent/guardian.
I agree to notify the Church in the event of any changes from above which would restrict my child’s participation in any normal children/youth activities. I also understand that the adult supervisors reserve the right to restrict my child from any activity that they do not feel is within the physical capabilities of my child.