My permission is granted for Grace Community Church volunteers, while at Backyard Bible Club, to obtain necessary medical attention in case of sickness or injury for all the child(ren)'s name(s) listed above. I, the undersigned, do hereby release, remiss, or forever discharge all volunteers at Grace Community Church form any claims, demands, actions or cause of action, past, present, or future arising out of any damage or injury while participating in Backyard Bible Club.
(Please sign and date electronically below, by submitting this form you agree to the medical statement above.)
