“Vintage” Christmas for Kids

I give permission for my child or ward to attend the Christmas for Kids program at Faith Lutheran Church. In granting this permission, I assume full responsibility for any damages to person(s) or property caused by my child or ward. I give permission for any emergency medical and surgical treatment if there is insufficient time to contact me. I understand that I will be notified in the case of a medical emergency. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event that my child is injured or becomes ill. I authorize the adult chaperones to act in my place to consent to all necessary and appropriate x-ray examinations, anesthetic, medical or surgical diagnosis or treatment, and hospital care. I understand that Faith Lutheran Church will not be responsible for medical expenses incurred solely on the basis of this authorization. I also understand that the designated adult chaperones reserve the right to restrict my child from any activity that they do not feel is within the physical capabilities of my child. (If this consent form is signed by one of two parents or guardians, it is with authority of the other.)

I agree to allow photographs, video, and interviews, which may be used in the outreach and promotion of Faith Lutheran Church, to be taken during Christmas for Kids.