Comments regarding my child's special needs, medical history, allergies, penicillin, drug reactions, etc. which may be needed in the case of any emergency treatment: If your child has FOOD ALLERGIES, please identify them and send in their own snack each night!
Release Form *
Your child may be photographed for church and mission purposes.
I (We), the undersigned parent(s) or guardian(s) of _______________________ (child's name), a minor, do hereby authorize adult volunteers of the Gateway Church as an agent(s) for the undersigned, to consent to any medical or surgical care deemed advisable by an accredited physician or surgeon in an approved emergency clinic or hospital. I further release from any liability Gateway Church, any of its ministers or leaders, in the event of an accident during this event. This agreement does not apply to claims for intentional misconduct or gross negligence.