PATH
Parental Authorization And Consent For Emergency Medical Treatment

I, the undersigned, attest and warrant that I have the legal authority to authorize emergency medical treatment for the minor child/children on my account, and do hereby authorize The Hills Church to secure such treatment for this child in the event of an emergency.

In the event of an emergency, I hereby authorize the administration, staff, and duly authorized volunteers of The Hills Church ("Church") to take whatever steps deemed necessary to obtain emergency medical care for my child.

This includes:

1. Consent to transport by medical emergency vehicle to the nearest Emergency Medical Facility.
2. Consent to any emergency medical treatment deemed necessary by Church in the event of emergency situations.
3. Consent for surgery and anesthesia in event of life threatening situations as the attending physical may deem necessary and as related to Church.
4. Consent for physicians, nurses, technicians and other qualified medical or hospital personnel to administer medical and surgical treatment in emergency situations.
5. Release of The Hills Church, its successors, assigns, representatives, council members, Board of Directors, Deacons, employees, and agents from any financial liability incurred during emergency treatment.

PARENTAL AUTHORIZATION AND CONSENT FOR PARTICIPATION IN ACTIVITIES
I authorize and give my consent for my child to participate in all Preschool activities, including indoor and outdoor playground.

HOLD HARMLESS INDEMNITY AGREEMENT
I, the undersigned, in consideration for The Hills Church permit our child/children to participate in activities occurring on the Church premises including recreational and all other activities of any and every kind of nature whatsoever; do hereby agree to hold The Hills Church harmless and agree to indemnify fully The Hills Church for any and all judgments and damages rendered against it and including costs, attorney's fees, regardless of whether or not there is litigation and including mediation and arbitration proceedings which result from or that are in any way connected with monetary, physical, mental, emotional, or other type of injury to my child that is claimed or asserted.

These authorizations and agreements are expressly granted from the date above until expressly revoked in writing by me

In an effort to better partner with you in keeping ALL of our children as safe and healthy as possible, we are asking you to please read the illness policy below. Please sign to acknowledge that you have read it and will abide by it while your child/children are in our care.

Any child who has had fever, diarrhea or vomiting within the past 24 hours WILL NOT be admitted into child care. ALL children should be fever-free, without the assistance of fever reducing medication, for at least 24 hours before being attending. A doctor's note may be required.

In order to provide a safe, healthy environment for all our children, we will not admit children who exhibit the following symptoms:

* Fever within the previous 24 hours
* Vomiting and/or diarrhea within the previous 24 hours
* Any symptoms of childhood diseases such as Scarlet Fever, Measles, Mumps, Chicken Pox, or Whooping Cough
* Runny nose with colored discharge
* Sore throat
* ANY unexplained rash - If your child has any type of rash you must submit a doctor's note stating that your child may still participate in group care.
* Any skin infection
* Pink eye and other eye infections

Preschool at the Hills staff will not administer any medication. Medication should NOT be left in your child's bag. Any medication found by a staff member will be taken to the Director's office.

We ask that you be diligent in following these procedures to help keep all of our children as healthy as possible. Also, please note that if the CDC or any state regulating agency changes the illness policy for public schools and daycares, our policies will change as well.

I acknowledge that I have received a copy of these policies, read them and agree to abide by them while my child/children are in the care of Preschool at the Hills.

I authorize Preschool at the Hills to release the following information to the other student's in my child's class:

Child's Name
Parent's Name(s)
Email Address
Phone Number

Any Directory limitations must be emailed to emily.young@thehills.org (Keller) or deborah.overall@thehills.org (West Fort Worth).

The undersigned individual hereby authorizes and grants to The Hills Church (the "Ministry") and its successors and assigns, the perpetual and irrevocable right to use the Child's name, likeness, voice, biography and history, factually or otherwise, and under a real or fictitious name, in connection with the Ministry's operations, as the operations may be changed from time to time. Such grant includes use in advertising in connection with the foregoing, and use in any and all media, whether now existing or hereafter devised, throughout the universe. It also includes the right to make changes, fictionalizations and creative choices as the Ministry may decide in its sole discretion. Such grant may also include the perpetual and irrevocable right to use the name, likeness, voice, biography, and history, factually or otherwise, and under a real or fictitious name, of any or all of the undersigned's minor children or of any or all minor children for which the undersigned is the temporary or permanent legal guardian, in connection with the Ministry's operations, as the operations may be changed from time to time.

The undersigned individual: (I) agrees not to bring any action or claim against the Ministry, or its successors, assigns and affiliated organizations, or any officer, director, elder, member, employee, agent or representative of any of the foregoing (individually and collectively, the "Benefitted Parties"), or allow others with the undersigned's control to bring such an action or claim, based on the depiction of the Child or the use of the Child's name, biography or history in any materials relating to the Ministry's operations or as otherwise described above, and (II) releases the Benefitted Parties, individually and collectively, from and waive any and all such actions and claims that the undersigned may have now or in the future.

The undersigned acknowledges receipt of good and valuable considerations for the authorization, release and other grants and agreements made herein, and the undersigned understands that the Ministry and the other Benefitted Parties are relying on them in proceeding with the Ministry's operations, and the elements thereof, as authorized above. The undersigned warrants that the use of the rights granted here-under and of any material supplied by the undersigned will not violate the rights of any third party.

Any photography limitations must be emailed to emily.young@thehills.org (Keller) or deborah.overall@thehills.org (West Fort Worth).

PATH Policies on Student Pick-up: Preschool at The Hills will not release your child to anyone who you have not authorized. At the beginning of school, please inform your child's teacher who the regular pickup person will be for your child.

To Add or Change a Pickup Person: Login in to the parent portal and add a contact. Any contact added will be authorized to pickup. You may also email the preschool director and request to add a contact to your account who will be authorized to pickup.

If regular pickup person changes: We ask that if your regular pickup person changes on any school day and someone on your authorized list will be picking up, please send in a note or call the school office to make us aware of the change so we will know who to expect at the end of the day. However, if you have not notified us of the change and someone from your authorized list comes to pick up, we will release your child to this person after verifying their picture I.D. without calling you first.

If the pickup person is not on your authorized list: If the pickup person is not on your authorized list, we will require a written note be sent in before the end of the school day with your signature authorizing the non-listed person to pick up. We cannot accept phone call pickup changes if it will be someone not on your authorized list. You will be notified immediately if someone not on your list comes to pick up your child and we have not received a written note with your authorization.

Picture I.D. required: Please notify the people on your list that picture I.D. will be asked for by the teacher prior to releasing your child, so be sure to bring it with them. This also applies to anyone you authorize in a written note to pick up.

Please Note: If a spouse of child of a person listed below comes in to pick up your child, we WILL NOT release the child to that person. Your child will only be released to the person named on your list and after verifying the person with their picture I.D.

We know that emergencies and unusual situations happen, however, we ask that you try to limit the people who pick up to the ones on the Authorized list. All these precautions for releasing students are to insure the safety of your child and are not meant to cause intentional inconvenience for parents. We very much appreciate your understanding and cooperation with our policies on student pickup.