In case of medical emergency, I understand that effort will be made to contact me. If I cannot be reached, I hereby give permission to the physician selected by the adult leader to hospitalize, secure proper treatment for and to order injection, anesthesia or surgery for my child named above.

The above youth has my permission to attend activities with leaders from St. Michael and All Angels Church. I understand activities will be under the direct or indirect supervision of one or more adult leaders approved by the church. I waive any claim against the church and its approved leaders.