93 W Weisheimer Rd Columbus, OH 43214 Directions
614-267-4946 office@firstuucolumbus.org
This form is to grant annual medical information and permission for RE participants. This form only needs to be submitted once annually for the whole family as long as the information is the same from participant to participant.
I give my consent for the first-aid and emergency medical treatment of my child(ren). I give my consent for all information in this and my child's Realm profile to be supplied to those providing treatment.
In the event of illness or injury requiring emergency treatment, the church representatives will make reasonable attempts to contact all emergency numbers listed in my child's Realm profile. In the event that none listed can be reached, I hereby give my consent for the administration of any treatment deemed necessary by the designated, preferred practitioners listed above. In the event that the preferred practitioners are not available, treatment may be provided by another licensed professional and /or transport to the hospital:
*This authorization does not cover major surgery unless the medical opinions of two licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery.
By typing my name below I confirm that I am the parent or legal guardian of the above-named children and grant permission for them to participate in First UU Columbus's Religious Exploration programming for the 2025-2026 church year.
I am aware that some classes and activities may take trips off of church property or meet at a different location and that those plans are typically communicated to caregivers via email prior to the trip. Transportation may be via an adult over the age of 25 in a private car, through public transportation, or by walking.
I further agree, in consideration of the above-named child(ren)’s participation in the RE activities, including all necessary preliminary and follow-up activities associated, to indemnify, release, hold harmless and discharge the staff and volunteers of First UU Columbus from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or relating to any loss, damage or injury, including death, that may be sustained by the above named child(ren).
Please consider donating to the 2025 Holiday Appeal campaign.
