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In case of emergency, I understand that every effort will be made to contact me. If I cannot be reached, I hereby give The Well leadership, staff, or other emergency medical personnel the permission to act on my behalf in seeking emergency medical treatment for this child in the event that such treatment is deemed necessary by the volunteer, leadership, or church staff. I give permission to those administering emergency medical treatment to do so using those measures deemed necessary. I absolve The Well Church, and/or church personnel from Liability in acting on my behalf in this regard so long as they are not grossly negligent.

I, as a parent or guardian of a child participating in GPS Ministry programs at The Well Church, Kenosha, WI, accept the responsibility for all expenses arising from medical care for injuries to my children while participating in these activities.

Thanks for submitting!

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