№ files_lp_4_process_1_26212
Administrative consent and medical information form authorizing adult chaperones to participate in activities of First Baptist Church in Manchester, Tennessee, including travel, emergency medical treatment, and liability acknowledgment for the 2025–2026 program year.
Year: 2025–2026
Region / City: Manchester, Tennessee, United States
Organization: First Baptist Church, Manchester, TN
Department: FBC Student Ministry
Document Type: Medical Release and Participation Permission Form
Purpose: Authorization for adult chaperones to participate in church activities and receive emergency medical care
Validity Period: August 1, 2025 to July 31, 2026
Required Authentication: Notarization required
Required Attachments: Photocopy of both sides of health insurance card
Primary Participant Category: Adult chaperones
Information Collected: Personal identification, contact details, insurance information, medical history, medications, allergies, activity restrictions
Emergency Contacts: Two additional contacts required
Medical Authorization: Emergency medical treatment authorization included
Liability Clause: Release and indemnification of church, employees, and agents
Approval Method: Signature of participant and certification by Notary Public
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

Don’t have cryptocurrency yet?

You can still complete your purchase in a few minutes:
  1. Buy Crypto in a trusted app (Coinbase, Kraken, Cash App or any similar service).
  2. In the app, tap Send.
  3. Select network, paste our wallet address.
  4. Send the exact amount shown above.
After sending, paste your TXID (transaction ID) and your email to receive the download link. Need help? Contact support and we’ll guide you step by step.