In the event of an emergency or non-emergency situation in which medical treatment is requires as a result of participation in DivorceCare for Kids, every reasonable effort will be made to contact the persons listed on the reverse side. If unsuccessful in contacting the persons listed, consent/permission is hereby given for treatment by competent medical personnel.
Furthermore, unless specified otherwise, consent/permission is hereby given to all accompanying adult staff or volunteer leaders on this trip to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery as recommended by qualified medical personnel. If possible, the adult leader should make final decisions in cooperation with medical personnel.
I understand that Decatur First United Methodist Church does not carry accident or medical insurance on participants or volunteers. I agree that my insurance company will be used for such medical care expenses and I am aware that I may be billed by the medical provider for any medical treatment expenses not covered by my insurance. I understand that if I do not have medical insurance coverage that I am responsible for the payment of any and all medical bills.