Professional Documents
Culture Documents
PERMISSION SLIP
June 30 2011
I understand that every effort will be made to protect and safeguard all par-
ticipants. Therefore, I agree not to hold Bethany Church or any of its staff
and chaperones liable for any illness or mishap occurring in transport to
and/or during the event. I understand that adult supervision is being pro-
vided for the event and I authorize any treatment by an accredited hospital
and/or physician if it is deemed necessary for my child. I understand I will
be responsible for picking up my child at any time if my child becomes un-
ruly.
Return by June 12
Cost: $35
Be at church by 6:30 am on June 30
Medical Release Form
Bethany Covenant Church wants to assure you and your child that they will receive the
best possible care in the event of an accident. We would like to have a copy of any
medical conditions or awareness’ that would benefit us in treating your child either in
route to or from our excursion. This form will be with Bethany counselors at all times
and will be used to help treat your student should a need for treatment arise.
_____________________________________________________________________
_____________________________________________________________________
Phone Number______________________
Policy Number____________________________________
Phone number:________________________________
I want to emphasize the importance we are placing on your child’s safety and well be-
ing. In the event of an emergency we want your child to receive the best and quickest
health care possible.