Authorization and Medical Form
The information received is confidential and is being gathered for the purpose of serving your child while in the care of YFC staff and volunteers during the National Ministry Conference. Any medical information collected here serves to authorize YFC and its staff and volunteers to obtain medical assistance in emergencies.
As parent/guardian, I agree to permit reasonable use of photos and/or video of my child/youth during the child/youth programming provided during NMC, understanding that they could be used by YFC Canada in the promotion of future YFC conferences/events.
PERMISSION TO PARTICIPATE/WAIVER
By checking the corresponding box, I give permission for the indicated youth in my care to participate in the event set forth by Youth for Christ / Youth Unlimited and any of its subsidiary programs. Furthermore I do not hold Youth for Christ / Youth Unlimited or any of its subsidiary programs responsible for any harm that may occur to the above named youth on this form as a result of his/her willful participation in the event.
I hereby release YFC, its staff and sponsors, from responsibility and liability for any injury or illness that my child may sustain during these activities, knowing that reasonable precautions for the health and safety of the children will be taken.
In the event of an emergency, I authorize an adult leader of this event, as an agent of me, to consent to any x-ray examination; medical, dental or surgical diagnosis; treatment; and hospital care advised and supervised by a physician, surgeon or dentist (as appropriate) licensed to practice under the laws of the province where NMC is held, either at a doctor’s office or in any hospital. I expect to be contacted as soon as possible. The parents/guardians are responsible for any additional expense that may result from such services.
By checking the corresponding box on the registration form, I state that I have read, understood, and hereby grant permission for my child to participate fully in the activity described above and agree to these waivers and conditions.