Participation and Medical Release
As Parent and/or Guardian of the named participant, I grant permission for my child to participate in all Tusculum Church of Christ VBS 2024 activities.
In the unlikely event of an emergency, I authorize 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
state where the services are rendered, either at a doctor’s office or in any hospital. I will be responsible for the cost of all medical
treatment to the extent not covered under insurance. I will not hold the Tusculum Church of Christ liable for any such financial
obligations, nor will I file any claims of damages against the Tusculum Church of Christ or any of its representatives. This form will be in effect so long as the subject (listed above) participates in Tusculum Church of Christ VBS 2024 Activities.
Parent/Guardian Signature: __________________________________ Date: _____________