Permission for Medical Treatment, Photograph/Video Notice, and Release and Indemnity
My permission is granted for any church official, event staffer, or adult leader present or in charge of first aid, to obtain necessary medical attention in case of sickness or injury to me or my student during Wallace Student Ministry events.
Also, I understand that as a Participant, I or my student may be photographed or videotaped during normal event activities, and these photos/videos may be used in promotional materials. I, the undersigned, do hereby verify that the above information is correct, and I do hereby release and forever discharge Wallace Memorial Baptist Church and its sponsors and employees (“Released Parties”) from any and all claims, costs, demands, actions, or causes of action, past, present, or future, arising from my/my student’s participation in any event sponsored by Wallace Student Ministry. I agree to indemnify the Released Parties for any and all claims, demands, damages, injuries, costs, suits, or causes of action, past, present or future, arising out of or caused by myself or by my student while participating in any event of Wallace Student Ministry, or while on property, leased or owned, by any Released Party. Understanding, I represent and acknowledge that I have completely read and understand this document and all its terms and all matters referred to herein, and I signed voluntarily as my free act and deed, that I have had ample opportunity to obtain the advice of counsel and that, by signing this document, I am relinquishing legal rights and remedies that may have otherwise been available to me. I understand that this Waiver and Release shall be construed as broadly and inclusively as is permitted by applicable law and agree that if any portion of this document is held invalid, the remaining portions shall continue in full force and effect. To the extent the restriction on filing lawsuits is deemed unlawful, I agree to submit any Claims to a Christian conciliation/arbitration organization for binding resolution. It is understood and agreed that a copy of this form shall be treated as authentic and binding as the original.