Participation Agreement and Medical Waiver:
I acknowledge that participation the activities described above could involve risk to the above mentioned minor and may result in various types of injury. I understand that in the event medical treatment is required, every effort will be made to contact me. However, if I cannot be reached, I give my permission to the staff or volunteer to secure the services of a licensed physician to provide the care necessary, to hospitalize, and to order injection, anesthesia, surgery or other treatment as needed for the above mentioned minor. It is understood that I will assume full responsibility for any such action, including payment of costs.
I also understand that neither Kings Church nor its staff, volunteers, or event personnel are to be held responsible for any claims related to injury as a result of such participation or transportation to and from any of the aforementioned activities in the year 2018.
1918 Lady Hammond Rd.