In the event of illness or injury, if I am unable to consent, I authorize church personnel and volunteers to secure emergency medical treatment for me. I authorize physicians, hospitals, emergency medical personnel, and other licensed healthcare providers to provide treatment they determine is reasonably necessary. I understand that I am financially responsible for medical expenses not covered by insurance.

These are the ground rules that keep everyone safe. Please read and agree.
-Two adults are present with children whenever possible, and I am never alone with a child out of sight of others. (The nursery is staffed by an adult and a paid high school assistant and has a door with a window in it).
- My physical contact with children is appropriate, in the open, and welcome to the child. I never use physical punishment.
- I respect children's privacy in bathroom and changing situations and follow the church's guidelines for them.
- I do not contact or meet a child privately, in person or online, outside church activities without a parent's knowledge and permission.
- I follow the sign-in and sign-out procedures for every child.
- If I see or suspect that a child is being harmed, I report it. Pennsylvania law makes me a mandated reporter, and I will act like one.

In consideration of St. Paul's United Church of Christ allowing me to volunteer with its children's ministries, I release and agree not to hold responsible St. Paul's UCC, its pastors, directors, employees, volunteers, and teachers for any accidental injury, sickness, or property loss I may suffer while volunteering. St. Paul's, its pastors, directors, employees, volunteers, and teachers shall only be liable for willful misconduct and not for ordinary negligence. I understand St. Paul's carries insurance for its ministries.