Parent/Guardian 1 Information
Parent/Guardian 2 Information (if applicable)
Parent/Guardian 3 Information (if applicable)
Parent/Guardian 4 Information (if applicable)
Please share with us emergency contact information other than parent/guardian to whom your youth may be released.
I hereby grant permission for my child(ren) to participate in religious education activities at the Unitarian Universalist Fellowship of Midland (UUFoM) or virtually. I understand that neither the UUFoM, its staff, nor its volunteers assume any legal liability for the welfare of my child(ren), and I hereby release them of such liability. In the event that an emergency should occur while my child(ren) is participating in activities sponsored by the UUFoM, I hereby grant my permission to the person(s) in charge of the activity to do whatever is deemed necessary to ensure the safety and well-being of my child(ren), and I hereby in advance authorize whatever medical care said person(s) may deem necessary. I agree to assume all responsibility for such medical expenses. This agreement shall remain in effect for one year from today's date, and continue to do so for each approved year thereafter.
