I hereby give permission for any and all medical attention to be administered to my child in the event of an accident, injury, sickness, etc., under the direction of Judson Church, until such time as I may be contacted. I also assume the responsibility for the payment of any such treatment. I hereby grant permission for my child to be photographed, voluntarily and without compensation, understanding that the same is intended for publication by print media, online media, newspaper and video purposes.
By signing and dating below you agree with the above statement.
