Keraza 2025

PARENT/GUARDIAN

SIGNATURE REQUIRED FOR ENROLLMENT

I hereby certify that my child (or I if I am over 18 years of age) is (am) willing and able to adhere to the event guidelines. If the church chaperones/servants decide that my child must leave early, one of the servants will reaching out to the parent via phone. In the event of an unforeseen incident or accident, I hereby declare that I will not hold liable the church as an organization, or the chaperones in their capacity as church representatives.

I hereby certify that I give permission for the church / church representative to transport my kid(s) to the event and back to the church (if applicable).

In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the church chaperones to hospitalize, secure proper treatment for, and to order injections, anesthesia or surgery for my child (or myself). I also give permission to the medical personnel selected by the church chaperones to order X-rays, routine tests, or treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child (or myself).

I grant permission for my child to participate in every activity offered at the event.