Parent/Grandparent/Guardian Information
Parents and Grandparents: If you are the person who regularly brings this child/youth to church, please complete this section. Provide information about addditional parent/guardian in the "Additional Parent/Guardian" section. Thanks!
Additional Parent/Guardian Information
Alternate Emergency Contact Information
In the event of an emergency, every effort will be made to contact parent/guardian(s). Please name an alternate contact in the event that parent/guardian(s) can not be reached:
MEDICAL/HEALTH INFORMATION
Please indicate any medical/health information that adults should be aware of or sensitive to when planning and and leading programming activities and events.
LIABILITY RELEASE / CONSENT FOR TREATMENT
I hereby release Forest Hill Church, Presbyterian (FHC), its staff and volunteers leaders of all liability for any injury or illness that my child/youth may sustain during programming activities and events sponsored by the church.
In the event of an emergency, FHC staff and volunteer leaders will make every effort to contact me, or the alternate persons named, as soon as possible. I authorize FHC staff and volunteer leaders to seek medical treatment for my child/youth. I give my consent to examination, diagnosis, treatment and/or care of my child/youth by a certified provider in a physican's office, emergency room or hospital.
Images and recordings help us tell the story of Forest Hill Church and communicate our commitment to becoming the beloved community. Media images enhance the quality of information we provide to members, visitors, and the community about our worship, programming and activities.
Please indicate your permission below for the image/photo/video of the child/youth named above to be used in church-related materials, including but not limited to, bulletins, posters, brochures, newsletters and other printed materials and on the church's website and social media platforms.
PLEASE TYPE YOUR FULL NAME BELOW AND SUBMIT TO SIGN.
You acknowledge that all information submitted on this form will apply to FHC sponsored programming activities and events through the 2023-24 program year (Sept 2023-Aug 2024.)
Please notify Amy Wheatley, ce@fhcpresb.org of any significant changes in contact information, medical information or health concerns.