I, (parent/guardian) do hereby give Life Covenant Church my permission to have medical authorization for (participant’s name) on any activity from September 3, 2025 through September 1, 2026. I release the staff, LCC, Volunteers, and the sponsors of the event from liability for any accident that may occur while traveling to, from, and during the event. It is my understanding that these events and activities are approved by the church and will be appropriately chaperoned by adult leaders and parents. 

Additionally, in the event that my child becomes ill or sustains an injury during one of the activities, I give my permission to those in charge to take necessary steps in administering proper medical treatment. In the event that I cannot be reached by phone, I consent to the administration of treatment to be rendered to my child upon advice of a duly licensed physician and/or surgeon. I understand that I am giving permission for my child to engage in the activities, and will not hold staff, LCC, volunteers, or sponsors of the event responsible for any incident occurring to my child resulting from activities during the events.

By signing this form, I give my permission for my child(ren) to be videotaped, photographed, or digitally imaged for promotional purposes for the Life Covenant Church’s children’s activities and that the images taken will not be used for any other purposes.