I give permission for my student to participate with other youth and adults from First Presbyterian Church of Livermore (FPCL) at the event listed on this form. In the unlikely event of an emergency, I give permission for my student to be treated by an accredited physician in an approved emergency clinic or hospital. I designate the adult leaders for the group with the authority to act on my behalf and order appropriate treatment. I further release from any liability the San Francisco Presbytery (SFP) and FPCL and its officers and approved emergency clinic leadership, in the event of any accident en route during and returning from these events.I expect to be contacted as soon as possible.
*If we cannot provide proof of medical insurance, my name in this form acts as my signature for the waiver releasing liability below.