do state the following:
1. Said child has my permission and consent to participate in St. Luke Union Church activities, under the direction of its activity leaders.
2. I understand that participation in St. Luke Union Church activities may involve situations where the child is exposed to dangers inherent in the activity, despite reasonable measures taken to safeguard the health and safety of the group, and therefore absolve St. Luke Union Church and the activity leaders from liability to me or the above named child because of any injury to said child while participating in the activities of St. Luke Union Church conducted on or off Church property.
3. In the event that said minor child sustains an injury or becomes ill during the course of attending the activities of St. Luke Union Church, I authorize the activity leaders of the Church to administer first aid and/or seek medical services for said minor child at my expense.
4. In the event that medical services are required, I hereby consent to any: x-ray; examination, anesthetic administration; medical, dental or surgical diagnosis and treatment; hospital care and treatment; or administration of drugs or medicine to said minor child under their general or specialized supervision and upon the advice of a duly licensed physician and/or surgeon.
5. I understand that this consent applies to any and all emergency medical situations that may arise during the above-described activities.
6. A copy of this original form shall be considered as valid as the original.
7. I, as the parent or guardian of the above named child, give consent for St. Luke Union staff, St. Luke Union volunteers, and ministry partners to use photos, video containing the child, their name, shared comments or opinions for programmatic and promotional purposes. All parties will agree to use appropriate discretion when such content or information is used. Please contact the church office if you, as the parent or guardian, wish to have other arrangements made.
8. Said minor child: