IN CASE OF MEDICAL EMERGENCY, I hereby authorize the staff of Kenya Baptist Ministries to secure appropriate medical treatment such as X-ray, anesthesia, injection, medical or surgical diagnosis or treatment, and hospital care necessitated by injury or illness for the above named individual. I agree to release any records necessary for referral, treatment, billing, or insurance.
Services are to be rendered to myself by legally qualified personnel. I hereby affirm that I have no physical condition(s) that will limit participation in the full range of activities being planned, except as listed above. I hereby waive and release Kenya Baptist Ministries from any and all liability.
I agree to be responsible for the expense of medical aid where not covered by the Kenya Baptist Ministry accident insurance policy.
I understand and agree that any video or photos taken of myself may be used in the publications (i.e. print, video, or internet form) of Kenya Baptist Ministries.