Include all parents and children that will be on Dover's campus.
The above information is true to the best of my knowledge. I/We hereby give permission to the doctor and/or hospital to render emergency care or treatment to my/our children named above, and authorize our children's physician/dentist to release any information necessary to such care or treatment. This authorization should be valid for one (1) year from the date and a copy shall be as valid as the original. I/We hereby release Dover Avenue Alliance Church, church workers, or volunteers from any liability which may occur from this activity. I/We understand that our children participate in this activity at their own risk and with my/our permission. I/We will not hold the church, its worker or volunteers responsible for any accidents, illness or injury that may occur.
I give permission for my child to be photographed during activities associated with Dover Church. I understand that said photos/videos may be used for the Dover Church Family Fun Nights program, and that my child’s name will not be used with the image.
