Liability/Medical Release/Release of All Claims
I am the parent/legal guardian of the youth listed above and agree to:
hold harmless PINE VALLEY UNITED METHODIST CHURCH and the Director(s), staff, and members thereof from any and all liability, claims, or demands for personal injury, as well as damage and expenses, of any nature that may be incurred by the parent/guardian and my child that may occur while he/she/they are participating in PINE VALLEY UNITED METHODIST CHURCH Youth Ministry Activities.
I, on behalf of my child, assume all risk of personal injury, damage, and expense as a result of participation in recreational activities involved.
Authorization and permission are given to said church to furnish any necessary transportation, food, and lodging for our child/participant.
I, as parent or legal guardian of the child(ren), give permission for full participation in the trip/activity including but not limited to water activities and off-site trips.
I give permission to take my child to a doctor or hospital and authorize medical treatment, including, but not limited to, emergency surgery or medical treatment, and assume all responsibility for all medical bills if any.
Should it be necessary for my child to return home due to medical reasons, disciplinary action, or otherwise, I assume all transportation costs.
Effective dates 9/9/18-9/8/2019