Annual Parental consent

Confidential Medical History



Permission for medical treatment

In the event my son/daughter becomes ill or sustains injury while in the care of or under the supervision of Neighborhood Church, or any of its officers or leaders, they are given permission to administer first aid for his/her relief. Consent is also given to admit him/her to any hospital and for all medical, surgical, diagnostic, and hospital procedure or treatment as may be performed or prescribed, including the administration of such drugs or medicines, by a physician for him/her when such treatment is deemed immediately necessary or advisable to safeguard my child's health and it is not advisable or practical to return him/her to us or to receive our instruction for his/her care. I waive my right to be informed and consent to said treatment. *

Liability release and consent to participation

I/We, the undersigned am aware that the program my child/teen is involved in is operating as a ministry of Neighborhood Church of the Assemblies of God, in Sunnyside, Washington. Moreover, that the wide range of activities offered my child/teen sometimes involves activities at locations other than the church. With the above in mind I/we hereby give permission /consent for my/our child *
to participate in all activities for the year beginning January 1, 2021 through January 1, 2022 and for their transportation to and from the activity which I/we understand is provided for by volunteers of Neighborhood church. I/we do also hereby consent and agree to hold harmless/release Neighborhood Church of the Assemblies of God, and its agents employees and volunteer assistants from any and all liability whatsoever arising out of injury, sickness, or damage which may be sustained by my son/daughter during the course of his/her involvement in said activities *