Permission is hereby granted for the above named person to participate in the events sponsored by Evergreen Bible Church for the duration of the time listed above.  In case of accident or injury, permission is granted for medical treatment to be administered, as needed.

I/we acknowledge that, in the event of injury or accident, our own medical insurance takes priority.  In the case that I/we are not adequately insured in the case of injury or accident, I/we agree personally to assume the risk for ourselves and our family.

I/we agree to come transport my/our child(ren) home if the disqualify themselves from any event.  Disqualification may occur if my child commits a major violation such as inappropriate sexual conduct, possession and/or use of tobacco, alcohol, marijuana or illegal substances, or unwillingness to follow instructions of the youth leader in charge.  The youth leader in charge will determine if disqualification is necessary.

I/we consent for our child to be photographed for use in print and/or electronic publicity or promotional purposes at EBC. To ensure the privacy of individuals and children, images will not be identified using names or personal identifying information. If you do not want us to photograph or video tape your child, please notify EBC in writing.