Foster Parents Night Out - Child Registration

Parent's Night Out Liability Waiver & Medical Authorization Participation Acknowledgment I understand that the child(ren) listed on this registration form will be participating in Beaver Baptist Church's Parent's Night Out program. Activities may include games, crafts, snacks, dinner, supervised play, and other activities consistent with the purpose of the event. I acknowledge that participation in these activities involves normal risks associated with children's recreational activities. Release of Liability In consideration of my child(ren)'s participation in Parent's Night Out, I hereby release and hold harmless Beaver Baptist Church, its pastors, staff members, leaders, volunteers, agents, and representatives from any and all claims, demands, causes of action, damages, costs, or liabilities arising out of or related to my child(ren)'s participation in this event, including claims resulting from illness, injury, accident, or property loss, except in cases of willful misconduct. I understand and agree that this release is intended to be as broad and inclusive as permitted by law and applies to any claims brought by me, my child(ren), family members, heirs, representatives, or assigns. Medical Authorization I understand that reasonable precautions will be taken to ensure the safety and well-being of all participants. However, in the event of an accident, injury, illness, or medical emergency involving my child(ren), I authorize Beaver Baptist Church staff and volunteers to administer basic first aid and to seek emergency medical treatment as deemed necessary. I further authorize licensed medical personnel to provide treatment for my child(ren) if I cannot be reached immediately. I understand that every reasonable effort will be made to contact me or my designated emergency contact as soon as possible. I agree to assume responsibility for any medical expenses incurred on behalf of my child(ren) as a result of such treatment. Parent/Guardian Certification I certify that I am the parent or legal guardian of the child(ren) being registered and that the information provided on this form is accurate and complete to the best of my knowledge. I have carefully read and understand this Liability Waiver and Medical Authorization and voluntarily agree to its terms.

I understand that the child(ren) listed on this registration form will be participating in Beaver Baptist Church's Parent's Night Out program. Activities may include games, crafts, snacks, dinner, supervised play, and other activities consistent with the purpose of the event. I acknowledge that participation in these activities involves normal risks associated with children's recreational activities.

Release of Liability

In consideration of my child(ren)'s participation in Parent's Night Out, I hereby release and hold harmless Beaver Baptist Church, its pastors, staff members, leaders, volunteers, agents, and representatives from any and all claims, demands, causes of action, damages, costs, or liabilities arising out of or related to my child(ren)'s participation in this event, including claims resulting from illness, injury, accident, or property loss, except in cases of willful misconduct.

I understand and agree that this release is intended to be as broad and inclusive as permitted by law and applies to any claims brought by me, my child(ren), family members, heirs, representatives, or assigns.

Medical Authorization

I understand that reasonable precautions will be taken to ensure the safety and well-being of all participants. However, in the event of an accident, injury, illness, or medical emergency involving my child(ren), I authorize Beaver Baptist Church staff and volunteers to administer basic first aid and to seek emergency medical treatment as deemed necessary.

I further authorize licensed medical personnel to provide treatment for my child(ren) if I cannot be reached immediately. I understand that every reasonable effort will be made to contact me or my designated emergency contact as soon as possible.

I agree to assume responsibility for any medical expenses incurred on behalf of my child(ren) as a result of such treatment.

Parent/Guardian Certification

I certify that I am the parent or legal guardian of the child(ren) being registered and that the information provided on this form is accurate and complete to the best of my knowledge. I have carefully read and understand this Liability Waiver and Medical Authorization and voluntarily agree to its terms.