By completing this registration, I give consent for my child to attend and participate in the customary events on the church property located at 14201 N. 32nd Street, Phoenix and off property activities sponsored by Calvary North such as, but not limited to; swimming, camping, boating, hiking, overnighters, sports, concerts, mission trips, and camps from September of 2025 to May of 2026. I understand that there will be adult supervision at each event. If there are any changes in the information I present on this document, I will notify Calvary North immediately. This document is valid until revoked in writing by the undersigned and delivered to the church office at the 14201 N. 32nd Street, Phoenix. 

I, the parent/guardian of the child named below on this form, do hereby authorize Calvary North and its adult leadership as agents for the undersigned to administer over the counter non-prescription medications including but not limited to Tylenol, Advil, and cold medications in dosages appropriate for the above-named child's age, and to clean and bandage or wrap wounds as necessary. I, also consent to any emergency x-ray, examinations, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given in advance to provide authority and power to the aforesaid agents. The expense of such treatment is agreed to be the sole obligation of the undersigned, and Calvary North is hereby released from responsibility to pay for such services rendered.