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North American Division of Seventh-day Adventists

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2023 MGO BR Medical Treatment Authorization & Consent

Completion of this form is Required if Accompanying Adult is not the Parent or Guardian of minor Participant (ages 16-17).

Hidden
MM slash DD slash YYYY
I am the parent or guardian of:(Required)
Click on (+) sign after field to add additional minor.
Accompanying Adult for minor(Required)
Consent(Required)
As the parent or guardian of minor Participant, I authorize the Accompanying Adult to arrange or provide medical treatment for the minor(s), including but not limited to helicopter evacuation, ambulance service, medications, first aid, hospitalization, and surgery;
■ execute any forms, consents, and releases as may be useful under the circumstances; and
■ delegate the authority granted herein to any other person(s).

I understand that efforts will be made to contact me if medical treatment should be needed. I will ensure that the minor will bring any necessary medications on the trip.
Parent or Guardian Name(Required)
Reset signature Signature locked. Reset to sign again

EVENT: 2023 MGO Buffalo River Expedition | June 11-14, 2023

Buffalo National River, Arkansas
To reveal submit button, what is 7+4?(Required)
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.

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  • Home
  • Adventurers
    • About Adventurers
    • Adventurer Club Starter Kit
    • Adventurer Club Curriculum
    • Adventurer Stars, Chips, Awards
    • Adventurer Pledge, Law, & Song
    • Adventurer Club Uniform
    • Adventurer Logos & Images
    • Adventurer Bible Game
    • Adventurer Club Training
      • Basic Staff Certification
      • Instructor Certification
      • Secretary/Treasurer Certification
      • Director Certification
  • Pathfinders
    • About Pathfinders
    • Pathfinder Pledge & Law
    • Pathfinder Song
    • Pathfinder Honors
      • Submit Honor Idea
    • Pathfinder Uniform
    • Investiture Achievement
      • Friend Level
      • Companion Level
      • Explorer Level
      • Ranger Level
      • Voyager Level
      • Guide Level
    • Pathfinder Bible Experience Website
      • PBE Updates
    • Pathfinder Training & Certification
      • Basic Staff Certification
      • Instructor Certification
      • Counselor Certification
      • Secretary/Treasurer Certification
      • Director Certification
    • Teen Leadership Training (TLT)
      • TLT Staff Handouts
      • TLT Training Workshops
      • TLT Networking Page
  • Master Guides
    • About Master Guides
    • Master Guide Pledge, Law, & Song
    • Master Guide Uniform
    • Master Guide Requirements
    • Master Guide Club & Training
    • Master Guide Outdoors (MGO)
      • 2023 MGO Buffalo River Expedition
      • MGO Backpacking Honor
  • The Latest
    • Subscribe to Latest News
    • Adventurers
    • Pathfinders
    • Master Guides
    • Calendar of Events
  • Contact