Saturday, August 5, 2017
10:00 a.m. - 12:45 p.m.
Centennial United Methodist Church
5401 Freeport Blvd.
Sacramento, CA 95822
Donation: $5 per child or $10 per family.
Please bring canned goods to help feed the hungry in South Sacramento.
Medical Authorization: In the event of illness or injury, I do hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis of treatment and hospital care are considered necessary in the best judgement of the attending physician, surgeon or dentist and performed by or under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services. I understand that all reasonable safety precautions will be taken. I understand that I hold Centennial United Methodist Church, their officers, agents and employees, harmless from any and all liability claims, which may arise out of, or in connection with my child’s participation in this activity. By submitting this form, I confirm that I have read and understand the preceding information.