I authorize the Eben-Ezer volunteers in the event of an accident or illness affecting the above named child(ren) to authorize on my behalf all medical procedures including admission to hospital and necessary treatment therein, as deemed essential for the care and well-being of my child(ren). Such action is to be taken only when the immediate contact with the parent or emergency contact person listed cannot be made. I will not hold Eben-Ezer Canadian Reformed Church of Chatham responsible for any injury my child(ren) may incur while in their care, or for any lost or stolen items my child(ren) brings to Kids Klub with them.