We will call this number in case of emergency

By filling out this form, as the parent/guardian, I understand that reasonable precautions will be taken to safeguard the health and well-being of this child during any church event, and that I will be notified as soon as possible in the event of an emergency. In case of sickness or an accident, I authorize and consent to Fort Bayou Family Church, or other associated volunteers to obtain medical care from a licensed medical professional, hospital, or medical clinic for the child described above, if myself or other legal guardians cannot be reached. I do hereby release and forever discharge Fort Bayou Family Church, and other associated volunteers from all manners of actions, claims, which I or the child shall or may have for any reason, arising during the child’s attendance during church functions, on or off of the church premises. Unless other written instruction is submitted, I also consent to allowing the child’s image to be recorded, either by photograph or video for publicity.