By signing this form, I give consent and permission for MCSW staff, volunteers, representatives, or contractors to provide medical care to me or to my child, to transport me or my child to a medical facility or to seek the aid of emergency medical services as deemed appropriate. I further authorize MCSW staff, volunteers, representatives, or contractors to render whatever treatment they consider necessary for my or my child’s health, and I agree to pay all costs associated with that care and transportation.

We’re especially sensitive to media releases when at youth events. By signing this form, I understand that photo and video recording of this event will be captured and will be shared publicly by the MCSW.