VBS Medical Release Form

I / we, the parent(s) of below listed child, do hereby grant to Rev. Bill Myers, pastor of Children's Ministry at Twin Oaks Presbyterian Church and Corinne Lattimer, VBS Director, the right and authority to make medical decisions and to obtain medical treatment for the child listed below in the event that an emergency medical situation arises while my child is on the premises of Twin Oaks Presbyterian Church.  The undersigned agrees to hold harmless and by signing below fully releases Rev. Bill Myers, Corinne Lattimer and Twin Oaks Presbyterian Church Corporation, any of their affiliates and any affiliated persons chargeable with any supervisory or any other responsibilities or liability, relating to emergency medical treatment.  I / we, the parent(s), agree to be responsible for any emergency medical expenses involved in helping our/my child.
 

* Required
Errors
Child's Name (please complete one form for each child)






Parent Signature



( ) - ext.
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Sunday Worship

9:00 am    Sunday School
Adult, Youth, Children's

9:45 am     Fellowship Time

10:10 am   Worship Service

Communion:
First Sunday of the month

Baptisms:
Second Sunday of the month

Sign Language Interpreters:

Children are excused to attend 
Children's Church during offertory.


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We use the English Standard Version for our pew Bibles.

 


Twin Oaks
Presbyterian Church
1230 Big Bend Rd.
Ballwin, MO 63021
636.861.1870
636.861.1613 fax