Minor Participant Medical/Liability Release Form

Emergency contact info:

I understand that my child will be participating in Gardendale-Mt. Vernon UMC's events, outings and activities. I recognize that my child will have the opportunity to travel with the church, and grant my permission for my child to be included in their travels. i do not hold the church, church leaders or church participants liable for unforeseen accidents to my child. In the event of any and all potential issues including but not limited to accident, sudden illness, or medical emergency involving my child, I heareby authorize the staff members and volunteers of Gardendale-Mt. Vernon UMC as adult persons into whose care the minor has been entrusted, to use their best judgement in the matter and hereby do consent to release my child into their care of the authorization of any medical treatment and/or hospital care as deemed necessary by a licensed physician.

Additionally, I give full permission for my child to ride in vehickles, including but not limited to personal vehicles, church bus/van, driven by Gardendale-Mt. Vernon UMC leaders, staff, and affiliates.

Thank you for submitting your release form!