Being the parent or legal guardian of afformentioned minor, I as their parent/guardian do consent to any x-ray, anesthetic, medical, surgical, or dental diagnosis or treatment that may be deemed necessary for my minor child. Further, I understand that all efforts will be made to contact me prior to treatment. In the event that I cannot be reached in an emergency, I give my permission to the Ministry with Young People staff members to make decisions necessary for treatment. Should there be no staff member available, I give permission to the attending physician to treat my minor child. I further understand that the doctors, dentists, and other providers attending to my child will take all reasonable safety precautions during their care.

Further, as a parent or legal guardian, I am responsible for the health care decisions for my minor child and agree that my insurance plan is the primary plan to pay for the dental, medical, or hospital care or treatment that is given to my child. Any policy of the church or organization sponsoring this event will be used as secondary coverage.

I hereby give my permission for my child to participate in IUCC MYP events for the 2023-2024 academic year.  I fully understand that my child is to accept all rules and requirements governing conduct during the activity.  It is understood that any child not fulfilling acceptable behavior standards will have their parent/guardian called.  The parent/guardian will be expected to pick up the child from the event and their participation in the event will end.  

I, the undersigned, hereby release IUCC, its officers, employees, and agents from liability arising out of or in connection with any activities taken with MYP.  In the event that I cannot be reached in an emergency, I do hereby give my consent for my child to receive such emergency treatment as deemed necessary by an attending physician or hospital.