By clicking the box below, I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.
I unconditionally release, waive and consent not to sue Crossroads Baptist Church officers, directors, administrators, agents, 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 to property, while participating in any and all of the official or unofficial activities and events. This waiver, release, assumption of risk and agreement not to sue discharges in advance Crossroads Baptist Church from all 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 be admitted to any hospital or medical facility for diagnosis and treatment. In case of injury, accident or illness, I authorize the teachers and on-site volunteers, medical/first aid staff to provide appropriate medical treatment. If an emergency transport is deemed necessary, I authorize the same to summon an ambulance to transport the student to the hospital. I request and authorize physician, trainers, technicians, first aid personnel, nurses and dentists to perform any diagnostic treatment or operative procedures and x rays 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 student whether or not covered by my insurance.