LIABILITY RELEASE
In signing this form, I, {parentguardianName}, agree not to hold Braeswood Assembly of God Church, Inc., its officers, employers, and other agents liable for any loss, damage, additional exprenses, accident, injury or death resulting from accidents, crime, sickness, weather, natural disaster or any other cause whatosever that my student(s), listed in this registration form above might encounter while participating in church activities. I realize and acknowledge that my child's participation in any church activity includes risks and possible dangers.
I am well aware that their travel exposes them to such risks as accidents, illness, and other calamities. I hereby assume any such risks that might result from my child's travel and I unconditionally hold Braeswood Assembly of God Inc., blameless for any liability concerning my child's personal health and well-being, or any liability from his/her personal property that might be lost, damaged, or stolen while participating in church activities. I have carefully read the foregoing and I understand that my signature herein holds Braeswood Assembly of God Church, Inc., its officers, employees, and other agents harmless for any liability due to injury, damage, loss, accident, delay or irregularity in schedule.
MEDICAL RELEASE & AUTHORIZATION
As Parent and/or Guardian of the above named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named child. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to Braeswood Assembly of God Church, Inc., and its affiliates including Directors and Chaperones to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
CONFIRMATION
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY BINDING AS AN ORIGINAL MANUAL PAPRE SIGNATURE.