Carolina Beach Presbyterian Church Permission/Medical Release Form

I, _______________________, being the parent or legal guardian of __________________________________, do hereby grant my permission for said youth(s) to attend ______________________ with the youth group and chaperones of Carolina Beach Presbyterian Church of Carolina Beach, North Carolina on the date(s) of ___________________________.

I do also grant my permission for any emergency medical treatment to be administered in the event of an accident and do hereby release Carolina Beach Presbyterian Church and its employees and chaperones from any liability.

                                                Signed,

                                                __________________________