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Come join us for an amazing deep undersea adventure where you'll experience the ever-flowing, never-ending love of God! At Scuba VBS, you'll discover what living water is really all about!

Little Lakes Wesleyan Church VBS - SCUBA Registration & Permission Form, Aug 12-16, 2024, 1-4 pm

Consent for emergency treatment:

I, the undersigned parent or guardian of above registered camper, a minor, do authorize any duly authorized employee, volunteer, or other representative of Little Lakes Wesleyan Church, as agents of the undersigned to consent for any x-ray, examination, anesthetic, first aid, medical, or surgical diagnosis or treatment and hospital care deemed advisable by and is to be rendered under the general or specific supervision of any licensed physician and surgeon, whether such diagnosis or treatment is rendered at the office of said physician and surgeon or at a clinic, hospital, or medical facility. It is understood that this is given in advance of any specific diagnosis, treatment, or hospital care being required, but it is given to provide authority and power on the part of the aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment, or hospital care which aforementioned physician in the exercise of his or her best judgment may deem advisable. It is understood that all costs of all medical treatments/care and or emergencies will be paid for by the parent or legal guardian.

Consent for medications:

I, the undersigned parent or guardian of above registered camper, a minor, do authorize any duly authorized employee,volunteer or other representative of Little Lakes Wesleyan church as agents of the undersigned to dispense medication to my child.

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