Participant Contact Information:
Emergency Contact Information:
* in the event the above parent/guardian is unable to be contacted
I/we, the parents or guardians named above, authorize one of the New City Hamilton , New City Newmarket, or Christ Church Toronto ministry leaders to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above. I/we named above, undertake and agree to indemnify and hold blameless the ministry leaders of New City Hamilton, New City Newmarket, or Christ Church Toronto, its Pastors and Sessions from and against any loss, damage, or injury suffered by the participant as a result of being apart of the activities of New City Hamilton, New City Newmarket, or Christ Church Toronto as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to events of New City Hamilton, New City Newmarket, and Christ Church Toronto. I understand that this youth event will take place at Millstream Bible Camp. I give my child permission to participate in this event, understanding that they will be traveling by bus, rental van, or personal vehicles driven by adult volunteers. I/we understand that photos or videos may be taken of my child during a youth event and may be used in promotional materials both print and web. I/we give permission to be contacted by email about Youth Ministry related events and information.