I/we, the parents or guardians named above, authorize Pastor Kenton Barkman or one of the Mount Olive Evangelical Free Church Ministry Staff/Volunteer to sign consent for medical assessment, treatment or procedures for the participant named above.
I/we, nambed above, undertake and agree to indemnify and hold blameless Pastor Kenton Barkman, the Ministry Staff/Volunteers, Mount Olive Evangelical Free Church, its Pastors and Board of Elders from and against any loss, damage, death or injury suffered by the participant as a result of being part of the activities of the Mount Olive Evangelical Free Church, as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to events of the Mount Olive Evangelical Free Church.