Saint Michael's Church Permission Slips....

In consideration of your parish, St. Michael's Catholic Church, arranging for a youth ministry event, __________________________________________. The undersigned parent or guardian hereby releases and agrees to hold harmless St. Michael's Church or any of its employees, chaperones, or persons connected with the trip from liability, claims, damages, or personal injury, porperty loss/damage that may result during the event. The undersigned participant hereby agrees to abide by the rules established for the above event.  Dated this ___________ day of ___________, 2005. ________________________________  ________________________________ Signature of Parent                                      Signature of Participant       Authorization of Medical Treatment ________________________  __________________ Child's Name                              Date of Birth  ________________________  __________________  _________    _______ Address                                      City                               State               Zip   _________________________  _________________  ___________________ Parent or Guardian Name              Home Phone                Work Phone _________________________  _____________________________________ Insurance Company                      Allergies I hereby authorize the treatment, administration of anesthesia, surgical treatment(s) for my minor son/daughter inthe event of a medical situation occurring during my absence or when the hospital or physician(s) are unable to contact me.  This authorization extends to any hospital physician and nursing personnel within the physician(s), and nusrsing personnel pfor performing medical procedures acting on the authority of this medical treatment consent form which such medical providers deem necessary for my nimor child. Signed this ___________ day of  _______________, 2005. _________________________________________ Signature of Parent/Guardian Special Medical Conditions/Other Necessary Health Information:  _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

The E-Bulletin is the weekly newsletter of Saint Michael's Church. It features articles on issues important to you as well as on events and issues affecting the community of Bradford, Indiana.