Emergency Contact Information
Please provide us with a list of any relevant medical conditions, allergies, or medications that our leaders should be aware of. This information may be shared with other leaders and medical professionals on the team to ensure your well-being and safety throughout the trip. Your privacy and confidentiality will be respected.
By checking the box below, I, as the parent or legal guardian of the participant named above, give my permission for my child to participate in the Zuni Service Trip organized by Brookfield Christian Reformed Church (BCRC) from July 20 to July 26, 2023. I acknowledge that this trip involves various activities, including but not limited to community service, religious services, and recreational outings. I understand that there are certain risks associated with participating in the trip and that BCRC, its staff, and volunteers will make reasonable efforts to ensure the safety and well-being of all participants.
I authorize BCRC, its staff, and volunteers to seek medical treatment, including hospitalization, if necessary, for my child in the event of an emergency. I confirm that my child is covered by medical insurance as specified above, and I understand that I am responsible for any medical expenses that may arise during the Zuni Service Trip.
I hereby release BCRC, its staff, volunteers, and any affiliated organizations from any and all liability, claims, demands, or causes of action arising out of or related to my child's participation in the Zuni Service Trip.
By submitting this form, I acknowledge that I have read, understood, and agreed to all the terms and conditions outlined in this permission slip and waiver/release form.