Kids Club Registration Form
September 2019 - May 2020

Authorization for treatment of minor: My child named above has my permission to participate in activities sponsored by the Kids Club program at Wekiva Presbyterian Church. In the event of illness or accident, if the parent or guardian cannot be reached, I authorize the church or at agents to consent to any diagnosis, examinations, treatment or hospital care for my child, which is deemed advisable and is rendered under the supervision of a physician. I release the church and it’s agents from responsibility in the case of an accident or illness and connection with any authorized church activities.

Wekiva Presbyterian Church has my permission to use photos of my minor child, taken at any WPC or Youth event, in print form and/or electronically, including on the WPC Websites.

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