Parent/Guardian Permission and Medical Statement
I hereby certify that my son/daughter has my approval to attend events sponsored by or associated with LifePointe Church. I understand that there may be activities my son/daughter are involved in that will be around water (i.e. swimming pool, lake, ocean) and that there may not be any trained lifeguards on duty. I understand all reasonable care will be taken to avoid accident or injury to my child while on all trips and events with the LifePointe Church Youth Program and release the paid and/or volunteer staff of LifePointe Church and the paid and/or volunteer staff from any event attended by the LifePointe Church Youth Group from any and all liability. In the event of medical emergency, I understand every effort will be made to contact me or the authorized person listed on this form. In the event we cannot be reached, I grant permission to the staff of the trip or event to secure medical and/or surgical care for my child named above. I understand that LifePointe Church does not carry medical insurance for its youth activity participants and agree to accept the expense of emergency care through my medical insurance and/or personal resources.