MEDICAL RELEASE
I, the parent/legal guardian of the child named above, a minor, do here authorize the staff of First Covenant Church in Red Wing, MN as agents for the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis, or treatment and hospital care or service, which is deemed advisable and is to be rendered to said minor, under the general or specific supervision of any physician and surgeon licensed, or the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being rendered, and is given as specific consent to any all such diagnosis, treatment, or hospital care which the treating healthcare professional, in the exercise of their best judgment, may deem advisable to protect the life and health of said minor child. This authorization is given and shall remain effective for all current and future events with First Covenant Church.
MEDIA RELEASE
First Covenant Church will be taking photos/videos throughout this event. By registering, you give permission for First Covenant Church to take photos that may include the child named above. If you do not want your child's photo to be shared for public display, please check the box below.
MAKE A DONATION?
VBS at First Covenant is 100% free to participate, but would you consider making a donation to help with the program costs?! We appreciate any gift you may give to help make this space a great experience for our kids! Suggested donation is $5-10 per child.