I, the undersigned parent or guardian, do hereby attest that all the information on this form concerning my son/daughter mentioned above is the most current available for my child/ren (the “Participant”). I give my permission for the Participant to participate in the activities of the FMC Harlingen Family Ministries. This includes all sponsored activities on or off the premises of FMCH, including any and all activities involving travel and/or lodging. This permission shall remain in effect until December 31st, 2024 unless terminated in writing. I hereby authorize FMC Harlingen staff/chaperones to administer the medications as listed above. In order for my child to receive necessary medical treatment from medical staff and/or physicians in a medical clinic or hospital in case of illness or injury, I hereby consent to and authorize the ministry staff to obtain and consent to medical treatment for such illness or injury during the activity or activities of FMC Harlingen Family Ministries. It is understood that this authorization and consent is given in advance of any specific diagnosis or treatment and is given to encourage those persons who have temporary custody of the Participant, in my absence, and medical staff to exercise their best judgment as to the requirements of such diagnosis or said medical treatment. This medical consent will remain effective as of the date signed and thruough/until December 31st, 2024. I understand that any and all medical expenses incurred are my responsibility.

First Methodist Church Harlingen regularly makes use of videotaping and photographing during our worship services and events. These may be used in print or digital publications, in audio, video, or photo format. For exemptions, please contact the church office. My signature below gives permission for photos/videos taken at all church/youth events .