MEDICAL AUTHORIZATION & INSURANCE COVERAGE

In the event of a medical emergency where the listed emergency contact cannot be reached, I HEREBY AUTHORIZE Grace Chapel or its designated representative to secure medical treatment on behalf of myself and/or my child (if applicable), including but not limited to hospitalization, the administration of medications, injections, anesthesia, and/or surgery as recommended by a licensed physician selected by Grace Chapel. I also AUTHORIZE Grace Chapel to provide, if necessary, First Aid and the administration of over-the-counter medications by a certified First Aid provider for myself and/or my child in case of illness or injury. I AGREE that photocopies of this fully signed agreement may serve as valid authorization for participation in any Grace Chapel-sponsored activity, both on and off church property. I UNDERSTAND AND AGREE that I am responsible for obtaining and maintaining personal health insurance coverage for myself and/or my child, with an appropriate waiver of subrogation rights, such that my personal insurance will serve as primary coverage over any policy held by Grace Chapel. In the absence of such insurance, I agree to be financially responsible for any and all medical, rescue, or related expenses incurred on behalf of myself or my child.

ASSUMPTION OF RESPONSIBILITY

I accept full responsibility for my own actions and/or those of my child, including the consequences of those actions, during participation in any program, activity, or event affiliated with Grace Chapel. This includes, but is not limited to, any injury, property damage, or inconvenience resulting from participation.

WAIVER OF LIABILITY

I hereby RELEASE, INDEMNIFY, DEFEND, and HOLD HARMLESS Grace Chapel-including its board of directors, officers, employees, agents, volunteers, guides, and any landowners, municipalities, or government agencies associated with its activities— from any and all claims, liabilities, losses, damages, costs, or expenses (including attorney's fees), whether known or unknown, arising out of or related to any injury, illness, death, or property damage resulting from my and/or my child's participation in any Grace Chapel program or from any transportation-related incident. This waiver applies to me, my child (if applicable), and our heirs, executors, administrators, legal representatives, assigns, and family members, and remains in effect for all current and future Grace Chapel activities. This release does not apply to claims arising from gross negligence or willful misconduct by the parties listed

MINORS: PARTICIPATION, TRANSPORTATION, AND PROMOTIONAL CONSENT

If this release pertains to a minor under the age of 18, I GRANT PERMISSION for my child to participate in all Grace Chapel activities, including transportation by a legally licensed driver affiliated with Grace Chapel for any off site events or outings. I also GRANT PERMISSION for Grace Chapel to use photos, video, or audio recordings of my child, as well as quotations from interviews, letters, or evaluations, for promotional or commercial purposes.

ACKNOWLEDGMENT & AGREEMENT

By signing below, I confirm that I have read, understood, and voluntarily agreed to all terms and conditions outlined in this release. I understand that this agreement shall remain in full effect and legally binding for any and all Grace Chapel activities.