I permit immediate medical treatment as required in the best judgment of the attending physician. Please notify my next of kin ASAP!
I certify that the information on this form is accurate and complete to the best of my knowledge.
I understand that each individual is responsible for his or her own insurance during this trip.
In consideration of Friendship-West Baptist Church, I agree to abide by the rules and regulations set forth by Friendship-West Baptist Church, and their representatives. I assume all risk and hazards incidental to such participation. I do hereby waive, release, absolve, indemnify, and agree to hold harmless Friendship-West Baptist Church and its employees, organizers, sponsors, supervisors, administrators, and participants from any claim arising out of an injury to me and claimed to be caused in whole or in part by any negligent act or omission by Friendship-West Baptist Church, to the classes or persons previously mentioned. In the event of an accident, injury, or illness that necessitates medical attention, you are specifically authorized to obtain medical attention from person(s) and place as your judgment shall determine necessary. I give permission for the taking and usage of photos taken by Friendship-West Baptist Church and/or its employees, organizers, sponsors, supervisors, and administrators.