Clarion Kids Unleashed Waiver
Authorization to Consent to treat a Minor
I, the undersigned parent or legal guardian of the minor(s) listed above, do hereby request that he/she be permitted to attend Clarion Kids Unleashed at Epicenter. Should need arise, I hereby authorize treatment rendered under the supervision of medical personnel. Treatments will not be withheld if the undersigned cannot be reached I will not hold Epicenter (Clarion Christian & Missionary Alliance Church) liable for expenses incurred in the care of my child.
I, the undersigned parent or legal guardian of the minor(s) listed above, agree that Epicenter may use photos and video of my children taken during Clarion Kids Unleashed for promotional materials. This may include digital, print, and online usage.
When dropping off children for their free program, feel free to choose one of the following:
Join Art Talk, or...
Stay with your child and watch them do their program, or...
Run some errands and be back promptly at 12 pm.