Medical Release Form

Science Hill Community Church

In case of a medical emergency, this form authorizes Science Hill Community Church to obtain necessary medical treatment for the undersigned participant.

Consent for Emergency Medical Treatment 

I, the undersigned, hereby authorize the staff and volunteers of Science Hill Community Church to seek emergency medical treatment for the participant listed above in the event of an accident or sudden illness. I understand that every effort will be made to contact me or the emergency contact listed before any action is 

Release of Liability:

I release Science Hill Community Church, its staff, and volunteers from any liability in the event of injury or illness incurred during any church-related activity or event. This includes, but is not limited to, transportation to and from events.

Emergency Contacts:

In the event of an emergency, if I or the emergency contact cannot be reached, I authorize the church staff to contact the following individuals for assistance: Listed in the form below.