Kansas District Parent/Legal Guardian Permission Form

I give my child permission to attend and participate in Kansas Distrrict UPCI programs and all related activities.  I understand that my child’s attendance and participation in this program and any other activities engaged in, including but not limited to any related transportation, is at his/her own risk and I will not seek to hold Kansas District UPCI and/or partnering churches, nor any of the officers, employees or volunteers liable for any injury to my child incurred during this event or during any other activity, including transportation, related to the event.  In the event I cannot be reached, I hereby give my permission to Kansas District UPCI to seek and secure medical treatment for my child, including but not limited to hospitalization, anesthesia, surgery, and medication.