Sunday School Medical Consent Form
Child's Information
Full Name
Date of Birth
Address
Parent/Guardian Information
Name
Relationship to Child
Phone Number
Email Address
Emergency Contact
Name
Relationship to Child
Phone Number
Medical Information
Allergies
Medical Conditions
Medications
Doctor's Name
Doctor's Phone
Consent
I give consent for my child to receive medical attention in case of emergency.
I authorize the transportation of my child for medical care if necessary.
Parent/Guardian Signature
Date