I, the undersigned, am the parent or legal guardian of the student named above.
As the parent or legal guardian of the student, I certify and affirm that I have been completely and thoroughly informed that by attending Woodland Shores Baptist Church in Bridgman, MI ("WSBC"), my student will participate in certain events at WSBC, including but not limited to Youth Group, fellowship activities, carnivals, special holiday events, field trips (including off-church property and overnight), paintball, etc. ("Events"). I understand that the events may be the same or similar on a week-to-week basis or they may vary depending upon the judgment of the Youth leaders of WSBC. I understand that I will be provided sufficient information for individual events as they are planned.
I desire and do consent for my student to participate in the events of WSBC and I acknowledge and understand that this PARENTAL CONSENT AND RELEASE FOR ALL ACTIVITIES has the same force and effect regardless of whether the events engaged in are free or if a fee is charged. I consent to allow my student to be transported to and from events of WSBC pursuant to the travel arrangements made by WSBC for the particular events.
Further, I personally assume, on my student's behalf, all risk in connection with said events for any harm, injury, or damages that may befall my student as a result of my student's participation in the events, whether foreseen or unforeseen, and I still wish to allow my student to proceed with the events.
In consideration of my student being allowed to participate in the events and to use WSBC's equipment and facilities, on behalf of my student, and as to myself as parent and legal guardian, I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless WSBC, its agents, servants, volunteers, and employees from any and all claims, demands, or causes of action, which are in any way connected with my student's participation in the events or use of WSBC's equipment and facilities.
In cases of emergency, I further consent to the examination or treatment of my student by a physician duly licensed to practice medicine in the State of Michigan (or whatever state any incident may occur) or any health care professional duly licensed to provide health care services in the State of Michigan (or whatever state any incident may occur) for medical care and services deemed necessary by WSBC, its agents, servants, volunteers, and employees. In the event that it is not possible to acquire the services of a physician or health care provider to diagnose and treat my student based upon the existing circumstances, I also consent to the agents, servants, volunteers, and employees of WSBC to use their best judgment, as "Good Samaritans," to provide medical assistance until a physician or health care provider can be obtained.
I give permission to the Doctor or health care professional to provide any and all medical care they deem, in their professional opinion, to be necessary.
I agree to pay for any and all medical expenses incurred as a result of the use of this consent.
I understand that it is my obligation to inform WSBC of any and all health considerations or medical conditions that would affect or restrict my student's participation in the events of WSBC. I will not allow my student to participate in any specific events of WSBC which I know or should know would jeopardize my student's health or safety based upon my student's then-existing medical or health condition or that would subject other students of WSBC to disease or illness.
Should the need for medical attention arise, I understand WSBC will attempt to contact me, as soon as practicable under the circumstances.