I/we, the parent/guardian, of the above-named minor/participant, do hereby authorize all sponsors in charge from Meadowood Baptist Church as agents for the undersigned to consent to an x-ray examination, anesthetic, medical or surgical diagnosis for the treatment and hospital care which is deemed advisable by physician and surgeon licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital whether or such diagnosis or treatment is rendered at office of said physician or at said hospital. It is understood that this authorization is given in advance of any specific consent to any and all diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his best judgement delivered to said agents.

I/we, the parent/guardian, also understand that I/we will be responsible for all fees pertaining to any treatment or medical decisions that are decided upon. The Church/Staff/Volunteers are NOT responsible for any medical fees that may occur.

Further, I consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of the minor/participant during their participation in any activity, event or trip to be used, distributed, or shown as Meadowood Baptist Church sees fit including but not exclusive to: slide shows, church web site, social and print media. (When used in the public realm identifying information will be used responsibly e.g. names will not be attached to specific pictures or video images on the church's website.)