Consent: I am the parent/guardian of the child listed above and am informed of the activities offered by Wilmington Island Methodist Church (WIMC) located at 195 Wilmington Island Road, Savannah, GA 31410. I hereby consent for my child to attend and participate in all activities provided by WIMC unless I specifically exclude an activity below.

Medical Release: I authorize WIMC to provide emergency treatment in the event I cannot be contacted. I recognize that participation in WIMC activities may expose my child to some risk of injury. I consent to any x-ray examination, anesthetic, medical, or surgical diagnosis or treatment and hospital care under the general or special supervision and upon the advice of or to be rendered by a licensed physician or surgeon for my child.

I agree to hold WIMC harmless from any claims for damage to any property or persons which may occur through participation in any activity at WIMC, or in any of its programs. As parent or legal guardian of my child, I am responsible for the health care decision of my child and am authorized to consent to the services rendered. I represent that my consent to and agreement to pay for the dental, medical or hospital care or treatment to be rendered to my child is legally sufficient and that no consent from any other person is required by law.

Media Release Permission is hereby given to the staff and volunteers of WIMC to photograph, videotape, or otherwise record my child for any in-house production or promotion including, but not limited to brochures, websites, videos and social media.