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Parent/Guardian Permission Slip

Transportation is provided by Church Van. Emergency Information: I understand that the leaders/chaperones will make every attempt to reach me, but in the event emergency treatment is necessary, I give the trip leaders/chaperons the right to transport and authorize medical treatment on behalf of my child _(initial) Parent or Legal Guardian does hereby covenant and agree to release and hold harmless Piney Grove Baptist Church from and against any and all liability, loss, damage claims, or actions (including costs and attorney's fees) for bodily injury and/or property damage, to the extent permissible by law, arising out of my child’s participation in the church-sponsored trip, event, and related activities.
Child's Name