We (I) give permission for the above child to attend and participate in VBS and/or VBX-tra sponsored by FBC Buford on June 12-16, 2017.
We (I) authorize an adult, in whose care the minor has been entrusted to consent to any x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care, to be rendered to the minor under the general or special supervision or on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff or a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. The undersigned shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.
FBC Buford may photograph or video record during VBS. These photos or videos may be used by the church for promotional purposes only.