Emergency Contact Information
Medical / Liability Release
In the event of an emergency, and the parent cannot be reached, I, the undersigned parent or legal guardian, do hereby authorize adult volunteers of Westminster Baptist Church as agent(s) for the undersigned, to consent to any medical or surgical care advisable by any accredited physician or surgeon in an approved emergency clinic or hospital. I likewise authorize volunteer personnel to administer basic medical care such as applying band aids when deemed medically necessary. I affirm that all medical and emergency contact information listed at registration are accurate to the best of my knowledge. I further release from any liability Westminster Baptist Church and any of its ministries, leaders, or volunteers in the event of an accident before, during, or after Youth Ministry activities. This agreement does not apply to claims for intentional misconduct or gross negligence.
By entering my name in the box below, I am providing my electronic signature on this form.
Permission is granted for Westminster Baptist Church to photograph my child and use such photographs for craft projects, slide presentations, or social media.
By entering my name in the box below, I am providing my electronic signature on this form.