I/we, the parents or guardians named above, authorize one of Southwood United Church Ministry Personnel, Staff and/or Volunteers to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above, in the case of emergency.
I/we, named below, undertake and agree to indemnify and hold harmless Ministry Personnel, Staff and/or Volunteers, Southwood United Church, and its Leaders from and against any loss, damage, or injury suffered by the participant as a result of being part of the activities of Southwood United Church, as well as of any medical treatment authorized by the supervising individuals representing Southwood United Church. This consent and authorization is effective only when participating in or traveling to events sponsored by Southwood United Church.