The undersigned give(s) permission for our (my) child to attend and participate in the any and all activities sponsored by the Student Ministries of Grace Bible Church. While our (my) child is participating in approved activities: 1. We (I) authorize an adult, in whose care the minor has been entrusted, to consent to any x-ray examination; anesthetic; medical, surgical or dental diagnosis or treatment; or hospital care to be rendered to the minor under the general or special supervision and on the advice of any physician and/or dentist licensed under the provision of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of the said physician or at the said hospital. 2. We (I) also give permission for our (my) child to ride in any vehicle driven by an authorized adult appointed by the student ministry leadership staff while attending and participating in an activity sponsored by the ministry. 3. We (I) will not hold Grace Bible Church or any of its affiliates liable for any illness or accident that occurs to my child, or any expense incurred in the treatment thereof. 4. We (I) understand my student's photo may be used in Catalyst digital media (email / Instagram Checking the box here indicates denial of permission: Authorized Signature(s): Father (or Legal Guardian):