Emergency Contact Information
I/We, the undersigned, parent(s) or legal guardian of the minor listed above, do hereby give permission for Menomonie Alliance Church to take and/or use photographs, voice, video, or digital tapes of my child for promotional/informational materials.
Medical and Liability Release
We realize that no activity is without the possibility of unforeseen hazards which could result in injury to an individual. As a parent or guardian, you are to be aware of your responsibility to instruct your child of the importance of conduct which will ensure safety and enjoyable time while participating in this activity. By signing below, you, as a parent, guardian or other responsible party, agree to assume the risks and hazards which are inherent in this kind of activity. You also agree to absolve and hold harmless the sponsoring organizations and their representatives for damage, loss, or injuries to the child for whom you sign. By signing below, I give my child permission to participate in this activity. If said minor becomes ill or injured while in the care or under the supervision of Menomonie Alliance Church, I authorize said minor to receive first aid by any of its staff or volunteers. I give my permission to the leaders of this function to authorize any treatment deemed necessary by a licensed physician due to accident or illness during this activity.