I understand that DAYSPRING BIBLE CAMP, BETHEL COMMUNITY CHURCH, and FIRST EVANGELICAL FREE CHURCH carry medical and hospitalization insurance coverage which, consistent with the exclusions, limitations and terms thereof, may provide benefits over and above any personal medical and hospitalization coverages available to my family. I understand that any personal medical and hospitalization insurance available to my family will provide primary coverage and the ministry’s medical and hospitalization coverage (subject to the exclusions, limitations and provisions in medical coverages available to my family, in and, before applying for benefits may be available from the ministry’s medical and hospitalization coverage. I further understand that, in the event my child requires medical or dental treatment while engaged in camp, reasonable effort will be made to contact me; however, if I cannot be reached, I hereby consent and give permission to the ministry’s sponsor or any adult counsellor acting on behalf o the ministry with respect to camp, as agent for me, to consent to any X-ray examination; injections; anesthesia; medical, dental or surgical diagnosis and treatment; and hospital care and treatment advised and supervised by a physician, surgeon, or dentist (as appropriate) licensed to practice under the laws of the state where the services are rendered, either as an outpatient or in any hospital. To the best of my knowledge, I have listed above all of my child’s medical allergies, medications being taken, medical problems and other pertinent information. My child has permission to participate in all prescribed activities except as noted by me.
Parent/Guardian Electronic Signature