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  • We are truly excited your child/teen will be joining us on an upcoming trip or activity. We take safety seriously. Thank you for providing us with complete information and medical consent for each child/teen.

  • Child's Information

  • Parent/Guardian Information

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  • Allergies

  • Prescriptions

  • Medical History

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  • Medications

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    Place a check by any of these over the counter medications your child may receive. Note – These medications will be given by an adult chaperone. We prefer that an adult be notified if your child is traveling with any medicines (over the counter, prescription, etc.). 

  • Medical Consent

  • Right to seek treatment

     

    I understand that this information will be released to agents of Clearview Church. I authorize the agents of Clearview Church to seek emergent or non-emergent medical care on behalf of my child as deemed necessary. I also allow them to receive information regarding the treatment, care and condition of my child.

  • Photo Release

    We often take photos and videos of our trips/groups. The photos and videos may be used in slideshows, on our website, social media, and for other promotional purposes. We always use the utmost discretion when taking pictures or videos and do not identify those in the photos by name. Signing the below release allows us to use photos/videos of your child for the above purposes.**

    Photo Release: 

    I, the undersigned, do hereby give and grant Clearview Church and all of its agents the right to use photography, film, and/or videotape of my child. The above described photography, film and/or videotape may be used by Clearview Church for promotion only. I do further warrant that I have the right to authorize the foregoing use, and do hereby agree to hold Clearview Church harmless from any and all liability of whatever nature may arise out of or as a result from the foregoing use.

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