I hereby authorize the participation of this attendee in D3 activities of The Southern Baptist Theological Seminary. In consideration of The Southern Baptist Theological Seminary providing these activities and in recognition of The Southern Baptist Theological Seminary’s reliance hereon, I, on behalf of myself and other parents and guardians of the minor, do hereby waive and release The Southern Baptist Theological Seminary, its owners, officers, directors, managers, officials, trustees, agents, employees, or other representatives from all claims and causes of action by reason of any illness, injury, disability, death, or property damage which may be sustained as a result of these activities, whether on the Seminary premises or on the way to or from these activities and whether arising out of the ordinary negligence of The Southern Baptist Theological Seminary or otherwise. I agree not to make or bring any such claim against The Southern Baptist Theological Seminary or any other Releasee, and forever release and discharge The Southern Baptist Theological Seminary and all other Releasees from liability under such claims.
I agree to the aforementioned to cooperate and to conform to directions and instructions of personnel of the organization in charge of these activities. Should this attendee choose not to do so, and should those leading an activity believe it necessary, I will come and remove my student from the activity as soon as possible after being called by a staff representative for that purpose. I understand and agree to trusted D3 or Southern Baptist Theological Seminary leadership having access to my student's room with another group leader present under the circumstances outlined here: the attendee has been locked out of their room, there is a maintenance issue in the room, there is an emergency in the room, there is suspicion of illegal activities in the room. Two or more staff/group leaders must be present no matter the circumstances for the attendee's room to be entered.
I hereby give my permission to The Southern Baptist Theological Seminary to secure a physician, nurse, or dentist for the purpose of providing emergency medical or dental aid, including transportation to and from necessary facilities, as may be required by the illness or injury of the above named individual. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and/or evacuation. I hereby release, forever discharge, and hold harmless The Southern Baptist Theological Seminary from any claim based on such treatment or other medical services.
In consideration of food preparation, I understand that The Southern Baptist Theological Seminary will not be responsible or liable for any food allergies that the student may have while on the premises of The Southern Baptist Theological Seminary or at any activities offsite from Southern Seminary. Some food may contain peanuts, tree nut, milk, egg, wheat, and soy. If the minor has any food allergy, it is the minor’s responsibility to speak with the food service manager (Pioneer College Catering) to notify them of said allergy. I hereby release, forever discharge, and hold harmless The Southern Baptist Theological Seminary from any claim based on any allergic reaction to food while on the premises of the Southern Baptist Theological Seminary or at any activities while offsite while at D3.
This authorization shall remain effective until revoked in writing delivered to The Southern Baptist Theological Seminary.
CHOICE OF LAW: I understand and agree that the law of the State of Kentucky will apply to this contract.
I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE: