Galilee Student Ministry Parental Release Form

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Galilee Student Ministry Trip and Event Authorization and Release Form     

We (I), the undersigned parent(s) of __________________________    hereby authorize and approve the said stu‐ dent’s travel for all the trips with Galilee Christian Church he or she participates during this year.    The undersigned hereby releases Galilee Christian Church, it agents, employees, members, sponsors, ministers and  vehicle drivers from liability, claims, demands, actions and causes of action whatsoever arising out of, or related to,  any loss, damage or injury which may be sustained by the above referenced said student or the undersigned parent  or guardian while the said student is traveling to or from, or participating in, any church activities or trips.     In the event of an accident or injury to the above named student, when time is of the essence, I hereby authorize  the event sponsor(s) to seek and authorize medical treatment by the best available medical personnel.    Please complete to following information then sign and date this form.    Parent(s) or Guardians full name: ______________________________    Phone number:__________ Cell number: _________ Work Number: _________     IF you are not available contact: ____________  phone number: __________     Insurance company: ____________________ Policy Number: _______________    Insurance company Phone number: __________      Family Doctor: ____________________  Phone number: __________    Please list any allergic reactions or medications your child has:  _____________________________________________________________________    _____________________________________________________________________     Executed _____________________ (Date)    ____________________   ____________________   ____________________               Student          Parent or Guardian         Parent or Guardian    Galilee Christian Church 2191 Galilee Church Rd. Jefferson, GA. 30549 706.867.8072 

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