Davidson United Methodist Church (DUMC), its representatives, and employees may take photographs during DUMC-related activities. DUMC reserves the right to use those images, without compensation, in print and/or electronic communications for any lawful purpose, including publicity, illustration, advertising, and Web content (DUMC website, Facebook, Twitter, or Instagram).
My child/youth has permission to receive routine first aid care and the prescription and/or OTC medication(s) indicated on this form during their participation in DUMC activities. I understand that in the event medical intervention is needed, every attempt will be made to immediately contact the persons listed on this form. In the event the emergency contacts cannot be reached, I hereby give permission to the physician/dentist selected by the activity leaders to hospitalize, secure medical treatment, an injection, anesthesia, or surgery as deemed necessary. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Davidson United Methodist Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the participant.
This can be attached at the prompt below. Or, if submitting an email or hard copy to Sherry Carpenter (email@example.com), please do so within 3 days of submitting this medical form.