I, the parent/guardian of the child listed above, give permission to the Youth leadership to authorize or administer medical attention to my child if they deem it an emergency during Youth Retreat trip. I understand every effort will be made to contact me first or as quickly as possible. To "sign" this release, please enter your First and Last name in the field here.

If we can't get in touch with you or your spouse, please list individuals (and their phone numbers) we should call.