Permission / Medical

Permission Form

PERMISSION FOR TREATMENT, PHOTO/VIDEO NOTICE, RELEASE AND INDEMNITY

My permission is granted for the Minister, worker/chaperone, or any adult present or in charge of First Aid, to obtain necessary medical attention in case of sickness or injury to me or my child.

Also, I understand that as a participant, I or my child may be photographed or videotaped during church activities and these photos/videos may be used in FBC approved promotions, on FBC website, and on FBC social media.

I. the undersigned, do hereby verify that the information in these forms are correct and I do hereby indemnify, release, and forever discharge all sponsors, state convention and employees, and the First Baptist Church of Moultrie, Georgia from any and all claims, demands, actions or cause of action, past, present, or future arising out of any damage or injury whole attending Preschool, Children, Youth, or Adult Ministries events.

A typed name is considered a signature consent when filling out documents online.
Please list all possible pick up names for your child!
Please list all possible pick up names for your child!
Please list all names that are NOT allowed to pick up your child at all!