Youth - Senior High

Medical Release Form

Welcome

Med Release.pngAll participants of trips or events with Malibu Presbyterian Church are required to fill out a Medical Release Form.  For your convenience, we offer two options:


  • An Online Medical Release, which will generate a pdf and email it to you.  It is a safe, secure and easy way to keep a copy of the release for yourself.
  • Standard blank release to be downloaded and filled in by hand.

Simply click on the tab you want to use, above.

Please note:  You will NOT be considered registered until we receive your release.


Online Medical Release

Form View Counter

Download Blank Release



Click here to download medical release (pdf):
MPC Medical Release Form.pdf

Sign and return to MPC Youth Staff prior to the event.  
You can also fax it to (310)456-7018.

If you have any questions, contact Emily Richardson at erichardson@malibupres.org.