I/we, below named parents/guardians authorize the Pastors, ministry staff, and volunteers of Southwest Community Church to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant(s) named below. 

I/we, named below, undertake to agree to indemnify and hold blameless Southwest Community Church, its ministry staff and volunteers from and against any loss, damage, or injury suffered by the participant(s) as a result of being part of the activities of Southwest Community Church, as well as of any medical treatment authorized by the supervising individuals representing Southwest Community Church. This consent and authorization is effective only when participating in or traveling to events sponsored by Southwest Community Church.