MIDWAY CHURCH
LIABILITY RELEASE FORM TO PARTICIPATE IN
MIDWAY STUDENT EVENTS
Release of All Claims

In consideration for being accepted by Midway Church (the Church) for participation in, {eventName35}, {typeOf6}, during {dateOf9} – {dateOf29} within the United States, we, (I), being 18 years of age or older, do release, forever discharge, and agree to hold harmless Midway Church and the officers, of any nature whatsoever which may be incurred by the undersigned and the child/participant that occur while said child is participating in the above-described trip or activity.

I (We) hereby agree as follows:

1. I assume full legal and financial responsibility for my participation in the activity.
2. I grant the Church, it's employees, agents, and representatives the authority to act in any attempt to safeguard and preserve my health or safety during my participation in the field trip/activity including authorizing medical treatment on my behalf and at my expense and returning me home at my own expense for medical treatment or in case of an emergency.
3. Accident and health insurance are recommended for my participation in any field trip/activity. I understand that Midway encourages me to have appropriate insurance coverage for the entire time of any field trip/activity.
4. I shall conform to all applicable policies, rules, regulations, and standards of conduct as established by the Church to ensure the best interest, comfort, and welfare of the trip.
5. I voluntarily indemnify and hold harmless the Church, Board, Officers, Employees, and volunteers, their respective officers, and agents from any and all liability, loss, personal injury, sickness or death, as well as property damages, costs, or expenses, of any nature (including attorney's fees) whatsoever arising out of my participation in the field trip/activity and which do not arise out of the negligent acts or omission of an officer, employee, and agent of the Church, Board, Officers, employees, and volunteers, while acting within the scope of their employment or duties for the Church.
6. I understand that in the event medical intervention is needed, every attempt will be made to contact immediately the persons listed on this form. In the event I cannot be reached in an emergency during the activity/field trip held during the calendar year of 2023, I hereby give my permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or order an injection, anesthesia, or surgery for my child as deemed necessary.
7. I understand that my insurance coverage for my child will be used as primary coverage in the event medical intervention is needed.
8. I understand all reasonable safety precautions will be taken at all times by Midway Church and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of diseases or injuries incurred by the subject of this form.
9. I give permission for any photographs and/or videos taken of my child to be used in brochures, decorations, or church  social media (names are withheld from any publications).