In consideration for participating in all sessions and activities including field trips, scheduled, I do hereby release, forever discharge and agree to hold harmless the Burnett Avenue Baptist Church, Teen Summit, its directors, employees, and agents from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and/or the participant that occur while said person is participating in any Burnett Avenue Baptist Church and Teen Summit program, activity, on and off the premises, including recreation, performance tasks, and work activities. The undersigned further hereby agrees to hold harmless and indemnify said church and its program, its directors, employees, and agents for any liability sustained by said acts of said participant, including expenses incurred attendant thereto.
The undersigned further consents to the administration of first-aid and/or doctor’s care, or any other form of medical treatment necessitated by illness or injury that may require the same. In the event of the necessity of such care or treatment, as heretofore described, the undersigned agrees to hold harmless and indemnify said church, its directors, employees, and agents from any acts of malfeasance, and/or failure to act on the part of those chosen to administer medical care on behalf of the participant.
I have read the complete form, understand the rules, policies, and procedures supplied by Teen Summit leaders, and request that my son/daughter be admitted to participate. I have explained the rules to my son/daughter who also agrees to abide by the rules, policies, and procedures of initiatives of Burnett Avenue Baptist Church and Teen Summit. I give my consent for photographs, video, or any kind of media in which my son/daughter may appear and to be used by Burnett Avenue Baptist Church and Teen Summit for display and promotional purposes.
COVID GUIDELINES WILL BE STRICTLY ENFORCED!