PERMISSION AND LIABILITY FOR WELLSPRING YOUTH INVOLVEMENT

I/we, the parents and/or guardians named above, hereby authorize Wellspring Youth staff or one of the Approved Adult Volunteers to use their best judgement in any medical emergency and hereby sign this consent for medical treatment and authorize any physician or hospital to provide medical assessment treatment or procedures for the participant named above.

I/we, the parents and/or guardians named above, undertake and agree to indemnify and hold blameless

Wellspring Church, the approved ministry staff/volunteers, its Pastors and Board of Elders from and against

any loss, damage, or injury suffered by the participant as a result of being a part of activities of Wellspring

Youth Ministry, as well as of any medical treatment authorized by the supervising individuals representing

Wellspring Youth.

This consent and authorization is effective only when participating on or traveling to events of Wellspring

Church.

I have read, understood and agree with the above and sign it to cover and give permission for my youth to attend all advertised Wellspring Youth Ministry Events [Excluding overnight events & events outside of Hamilton/Halton Regions for which Additional Permission Forms are required]

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