​VBS PERMISSION SLIP
     
     
    I am a parent/guardian of _____________________________________________, a minor.  I grant my permission for him/her to participate in offsite activities for Vacation Bible School, an activity sponsored by Calvary Christian Ministries Vacation Bible School program.  In consideration of my child’s participation in the activity, I agree to indemnify and save harmless Calvary Christian Ministries, its employees, agents and volunteer youth leaders from any liability or costs they may suffer as a result of claims, demands, costs or judgments arising out of my child’s participation.
     
    I hereby give my consent in the event reasonable attempts to contact me at: 
    Home Phone:___________________________ or Cell Phone:____________________________ have been unsuccessful for: 
                a.         The administration of any treatment deemed necessary by a physician or dentist; and
                b.         The admission or transfer of my child to any hospital reasonably accessible.
     
    This authorization does not cover major surgery unless the medical opinion of another licensed physician or dentist concurring in the necessity for such surgery is obtained in writing prior to the performance of surgery.
     
    The following information is needed by any hospital or practitioner not having access to my child’s medical history:
     
                Allergies:______________________________________________________________
     
                Medication being taken:__________________________________________________
     
                Date of last tetanus shot:_________________________________________________
     
                Physical impairments:___________________________________________________
     
                Other pertinent facts to which the physician should be alerted:__she is a 4 month baby__________________
     
    ____________________________________________________________________________
     
     
    Parent/Guardian Signature__________________________________________________
     
    Dated: