The Rock Church
6006 E 8th Ave, Spokane Valley, WA 99212,
Main Office: +1 (509) 215-2614
This form gives permission for your child to travel away from the Church on church-sponsored activities, which includes transportation in church owned or privately owned vehicles by group leaders, and gives the group leaders authorization to secure medical aid for your child should it be necessary.
I consent to allow the minor, named below, to be transported from and to The Rock Church and from and to the place of destination as specified for various activities. I hereby authorize any hospital, clinic, physician, doctor, nurse or technician to furnish my child, named below, any medical care treatment necessary as a result of injuries sustained or other emergency medical treatment as circumstances require while being transported from and back to the church, and while at the place of destination. I hereby authorize a representative of The Rock Church to retain or acquire said Medical Care and treatment on my behalf if I cannot be reached by telephone or if there is not time or opportunity to make such a telephone call. I agree not to hold such a person responsible for any damages rising from the giving of such consent.
Parent/Guardian Information
I understand that as a participant my child may be photographed or videotaped during the event, camp, or mission activities and these photos/videos may be used in promotional materials and I give my permission for my child's likeness to be used in such materials.
Parent(s) or court appointed Legal Guardian(s) must sign for any participating minor (those who are under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
