By typing your name below, you give permission for your child to attend and participate in activities and events sponsored by Powell United Methodist Church to be held on church premises and/or at off-site locations. This permission is granted for the 2026-27program year (7-1-2026 to 8-31-2027).  

By typing your name below, you authorize an adult, in whose care the minor has been entrusted, to consent to any examination, x-ray, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. Every attempt will be made to notify parents or guardians before procedures proceed. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connections with such medical and dental services rendered to the aforementioned child pursuant to this authorization.  l