LIABILITY RELEASE for GATEWAY FELLOWSHIP
I ACKNOWLEDGE BY TYPING MY NAME IN THE BOX BELOW that my child has the privilege of joining the Day Camp children's programs at Gateway Fellowship. We are pleased to offer your child this opportunity. Your encouragement in proper conduct would be appreciated. Adult supervision and care will be provided at all times.
In the event my child becomes ill or sustains injury while in the care of, or under the supervision of Gateway Fellowship, or any of its officers or leaders they are given permission to administrate First Aid for his/her relief. If it is not practical to return him/her to us, or to receive our instructions for his/her care, consent is hereby given to admit him/her to any hospital. Consent is also given to any licensed physician and/or surgeon called, or to whom our son/daughter is taken for treatment by them to administer such treatment, drugs, and medicines, and to perform such surgical procedures as he/she shall think the existing emergency requires for the relief of pain and to preserve his/her life and health. Authorization is also given for such other measures or procedures as may be required.
I also acknowledge by signing I am giving permission for my child's picture to be taken and used by Gateway Fellowship.
[If you have a child whose picture cannot be used for safety reasons, i.e. foster child, please email Shelly Cole with the child's name, reason for no picture, and a picture for our reference.
shelly.cole@gatewayfellowship.com
Please enter your FULL legal name below.
