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This form must be printed and sent to Cathy Belles. Emailed signatures are not valid. First Presbyterian Church of Aiken, S. C. Presbyterian Children’s Fellowship Event 224 Barnwell Ave. NW Aiken, S. C. 29801 803-648-2662 Permission slip and Medical Consent Form
____________________________________ (Child’s name) has my permission to participate with FPCA Presbyterian Children’s Fellowship in the following activity: _________________________________________________________________________ I understand that every precaution will be taken to assure the health and safety of my child. However, I give my permission to the leaders to obtain emergency medical treatment for my child. In the event of any accident, I am to be contacted immediately and I release the leaders and helpers from all liability resulting from any injury or accident during this time.
Parent/Guardian Signature:
Date: ______________________________ Emergency Phone numbers: ________________________________ Please list any information that may be needed. Ex. Allergies, medication used, etc.
For any questions or concerns, please contact Director of Christian Education, Cathy Belles, 803-648-2662 or cathyb@aikenpresbyterian.org
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