AWANA Rainbow

To Whom It May Concern: As the parent or guardian, I do herewith authorize the treatment by a qualified and licensed medical doctor of the following minor in the event of a medical emergency which in the opinion of the attending physician may endanger the life, cause disfigurement, physical impairment or undue discomfort if delayed. The authority is granted only after a reasonable effort has been made to reach me. I also release Grace Baptist Church, other organization(s) and individual(s) involved of any liability for accident incurred during any of the AWANA club activities.
This release will be effective for one year after the date of signature. This includes both club meetings and transportation to and from outings (i.e., AWANA Games and any other type activity). This release form is completed and submitted of my own free will and with the sole purpose of authorizing medical treatment under emergency circumstances in my absence.