• SUMMER 2022 PERMISSION SLIPS

  • Please select the date and type the location of the trip you are given your teen permission to attend.  You may register them for up to 4 trips on this one form.  Please fill out another form if registering for more than 4 trips. 

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  • My child named above has my permission to attend the trips entered above with Exmore Baptist Youth Ministry.  I understand that my child will travel to and from the location.  The undersigned, for ourselves, our respective heirs, executors, administrators, and assigns, jointly and severally forever release and discharge and agree to indemnify and hold harmless Exmore Baptist Church, and any and all participating sponsors, and directors, and teachers, and the administration, officers, employees and agents of such parties from and against any and all demands, claims for damages and causes of action, known or unknown, that the undersigned may have for any and all injuries to persons or property in any manner arising or resulting from such participation in said event except only in such demands, claims or causes of action which may result from the gross negligence of any such party, such exception to apply only to such grossly negligent party.  Each of the undersigned attest and verify that we have full knowledge of the risks involved in the participation in this event, that we assume these risks and that we will assume and pay any and all medical and emergency expenses of the participant in the event of an accident, illness, or other incapacity, regardless of whether we have authorized such expense, and that the participant is physically fit and sufficiently trained to participate in the event.

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