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Medical Release Form


This form serves as a medical release for all Lighthouse Church Sponsored Outings for 2023.
If emergency service involving medical action or treatment is required and neither parents nor family physician can be contacted for consent, the parents hereby consent to the rendering of such emergency medical opinion of the doctor rendering such service for:

Insurance Coverage

In Case of Emergency

Thanks for submitting!

SERVICE TIMES

Sunday  

Sunday School - 8:30 AM

Service - 10:00 AM

 

Wednesday

Service - 7:00 PM

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ADDRESS

(615) 758-9627

 

6141 Saundersville Rd
Mount Juliet, TN 37122

 

info@lighthousemj.com

CONTACT US

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