By checking this box, I hereby give permission for photographs and/or video in which my child appears to be used by the church in printed and/or electronic media, including the church's website.
By checking this box, I unconditionally release, waive and consent not to sue Crossroads Baptist Church officers, directors, administrators, other employees, and volunteers of sponsoring agencies and sponsors, for any and all liability to the undersigned, their heirs and next of kin. This is for any claims or losses on account of injury, including death or damage of property, while participating in any and all of the official or unofficial activities and events. This waiver, release assumption or risk and agreement not to sue discharges in advance Crossroads Baptist Church from any liability even though that liability may arise out of active or passive negligence.
As the parent/guardian of the participant named above, I request in my absence the named student(s) be admitted to any hospital or medical facility for diagnosis or treatment. In case of injury, accident, or illness, I authorize the teachers, on-site volunteers, medical/first aid staff to provide appropriate medical treatments. If an emergency medical transport is deemed necessary, I authorize the same to summon an ambulance and to transport the student to the hospital. I request treatment or operative procedures and xrays for the named student. I have been given no guarantee as to the results of examination or treatment. I accept total responsibility for any and all medical costs of the above whether or not covered by my insurance.