Children & Youth Medical Information/Permission Form 2024-25

Parent/Guardian – please read, complete and e-sign for each child participating in any/all 2024-25 BGMC activities. 

Permissions and waivers please read and understand each of the below paragraphs before signing this form.  Contact the church office with any questions.

Medical – I, the undersigned legal parent/guardian, give my permission for adult leaders to transport my child to or from a doctor/hospital/medical facility for medical treatment as needed.  I give permission for medical personnel to perform emergency treatment and inject or administer drugs in conjunction with medical care.  I understand that if my child needs emergency treatment, I will be contacted.  However, if I cannot be reached, I give permission for treatment to be secured as the leaders deem best.

Transport – I understand that my child may be transported in various vehicles/buses/cars as part of group activities and trips, and I give standing permission for this transport.

Publicity – I understand that my child’s image will be captured by photo/video/similar during events.  I give permission for images/recordings of and writing by my child to be used in newsletters, emails, websites, pamphlets, social media, and similar forms of communication/publicity.

Liability – I hereby release Blooming Glen Mennonite Church, its personnel, volunteers, employees, officers, directors and agents from any and all claims, liability, responsibility and actions of every kind, including but not limited to property damage, personal injury, or public liability which they may have or which may result from the participation of my child in various activities.