We, the undersigned parents or legal guardians of (child and/or children listed on VBS online registration) _____________________ , a minor(s), do hereby release, forever discharge, and agree to hold harmless Dacula United Methodist Church, its directors, officers, employees, adult volunteers, youth volunteers and agents from responsibility and liability for any personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and the child participant(s) that occurs while said child is participating during any activity or event connected with Dacula United Methodist Church. Furthermore, we, as parents or legal guardians, hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in any activity or event connected with Dacula United Methodist Church. The undersigned further hereby agrees to hold harmless and indemnify Dacula United Methodist Church, its directors, officers, employees, adult volunteers, youth volunteers, and agents for any liability sustained by said youth organizations as the result of the negligent, willful, or intentional acts of said participant, including expenses incurred attendant thereto. We further assume responsibility for the decisions so made and agree to be fully financially responsible for any and all medical, hospital, and/or emergency treatment so secured for our child. We understand that, given proper time and circumstances, we will be notified by phone as soon as possible when treatment is needed or secured.
By signing my name in the box below, I electronically sign and affirm that I have read, understood and agree to the previous statement: