RELEASE OF LIABILITY
In case of an emergency, I hereby give permission to the physician selected by the Victory Baptist Church or Lancaster Baptist Church Youth Leader to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named above. It is understood that the church and doctor will make every effort to contact the parent/guardian of the child before treatment. I hereby release Victory Baptist Church and Lancaster Baptist Church of all liability. In addition the undersigned does hereby give permission for my/our child to attend any youth group event between the dates of June 16, 2025 and June 20, 2025, sponsored by Victory Baptist Church of El Cajon, California.
I/We authorize an adult, in whose care my minor child has been entrusted, to consent to any X-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care, to be rendered to my minor child under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.
The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.
The undersigned does also hereby give permission for my/our child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by Victory Baptist Church.
Victory Baptist Church Youth Group
Waiver and Release from Liability
I the undersigned parent or legal guardian, hereby consent to my child participating in Strong in the Lord Lancaster Baptist / Victory Baptist Teen Camp 2025 , an event sponsored by Victory Baptist Church Lakeside, Inc., June 16-20, 2025.
I (We) certify that my child is able to participate in these activities, which may including the following: I (We) acknowledge that my child’s participation in the Victory Baptist Church youth program is voluntary and may require involvement in activities that require traveling or physical exertion. Such activities may include, but are not limited to: outings, athletic games, theme parks, water parks, local excursions, and meetings. I (We) acknowledge that my child’s participation in any Victory youth activity presents risks that my child may suffer property damage, bodily injury, or death. If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them on page one of this consent and release form. In the event an emergency occurs, I may be reached at the telephone number listed on page two of this consent and release form. If I cannot be reached, I hereby authorize the church official, an adult sponsor of Victory Baptist Church Lakeside Inc., to make emergency medical decisions for my child. If there are any activities I do not want my child to be involved in, I have listed them on page two of this consent and release form.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold Victory Baptist Church Lakeside, Inc., and it’s Senior Pastor and Associate Pastors, deacons, employees, volunteers, representatives, subcontractors, and agents, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.
Victory Baptist Church Lakeside, Inc., is hereby authorized to take or permit pictures to be taken and video recordings to be made of my child, a minor, for use by Victory Baptist Church Lakeside, Inc., in publications, newspapers, newsletters, its website, and/or on television for purposes of public relations for Victory Baptist Church Lakeside, Inc. I hereby also authorize Victory Baptist Church Lakeside, Inc. to record my child’s voice for the purpose of broadcast on any of Victory Baptist Church Lakeside, Inc.’s broadcast outlets including, but not limited to: television, radio, cassette tapes, compact discs, computer file transfer, or website. Victory Baptist Church Lakeside, Inc., shall also have the right to use any portion of any statement made by my child in any publication, newspaper, newsletter, or website.
This agreement contains all the understandings, oral and written, of the parties and supersedes all previous agreements. If any portion of this Agreement is found to be invalid or unenforceable, it shall not affect the balance of this Agreement. This agreement will be governed by the law of the State of California.