AWANA Permission Slip
Medical Release Form
___________________________________ has my permission to ride the church van
and attend the AWANA program of the First Baptist Church of Lagrange, Ohio for the 2017-2018 year.
I understand that First Baptist Church of Lagrange and their sanctioned members are not liable in case of an accident. I understand that all precautions will be taken in order to provide safety on the van and at the AWANA program.
In the event I cannot be reached to make arrangements for emergency medical care at the time of illness or accident, I hereby authorize First Baptist Church to contact emergency medical personnel to care for my child.
*Please list any pertinent medical information that is vital in case of an emergency:
Print name of parents/guardian
Signature of parents/guardian
First Baptist Church
200 Church Street
PO Box 136
Lagrange, Ohio 44050