Permission & Medical Release Form

By completing and signing this form, you give St. Paul’s Lutheran Church, School & ECC the following consent, release, and permission for the following:

Parental consent

I give my consent for my child to attend and participate in all the various programs and activities that St. Paul’s Lutheran Church, School & ECC ministries sponsor, under the supervision of the adult advisors. I hereby exempt and release St. Paul’s Lutheran Church, School & ECC from any and all liability from of any damage, loss or injury to the individual or property while they are participating in any of the activities.

Medical release

I give my permission for a representative of St. Paul’s Lutheran Church, School & ECC to authorize medical treatment and seek emergency medical, surgery or dental care if necessary for my child as considered advisable or necessary in the judgment of an emergency medical professional or attending physician. I give the adult advisors / leaders the authority to act on my behalf with respect to my child’s health and safety while attending the events and understand that I or the emergency contact listed below will be contacted as soon as possible should need arise. I accept full responsibility for expenses for medical treatment for my child.

Transportation/Photos

I also hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by St. Paul’s Lutheran Church, School & ECC. I also recognize that photographs and video images of events are used for publicity materials such as the church website, newspapers and newsletters and I hereby grant permission for photo/video images of my child to be taken and used for such purposes.

This consent is effective through June 1, 2024.

All fields are required