Student Name *
Student Name
Does the participant have any of the following allergies?
Insert any other allergies in the comments section.
Signature *
Signature
By typing my name below, I am I hereby authorizing medical care or first-aid treatment for this participant, in the event of illness or injury during any sponsored activity of Westwood Church. This permit is in effect for the duration of Westwood Church activities that my child or I will be participating in.