ERBC Children's Ministry Permission Form 1

Acknowledgement of Risk

The above-named Participant (hereinafter “Participant”) acknowledges that there are certain risks associated with the above-named activity (hereinafter “Activity”) including, by way of example, physical injury due to activity-related accidents, physical injury due to transportation-related accidents, illness, or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.

Release of Liability

The Participant, in consideration of the benefits derived from participation of Activity, does hereby voluntarily release, acquit, and forever discharge Edwards Road Baptist Church, their officers, employees and agents from all man of suits, actions, claims, demands and liabilities which may arise from participation of the Activity. The Participant understands that this document constitutes a full and complete waiver of all possible claims, including claims for negligence in personal injury or property damage, arising out of participation of the Activity.

First Aid and Emergency Medical Treatment

Edwards Road Baptist Church is authorized to seek and secure any necessary examination, anesthetic, dental, medical or surgical diagnosis or treatment by any duly licensed physician or dentist and hospital service that may be rendered to the Participant, whether such diagnosis or treatment is rendered at the office of the physician or dentist, or at a licensed hospital. The physician or dentist shall be authorized to call in any necessary consultants at his/their judgment as to the requirements of such diagnosis or medical, dental or surgical treatment. The Participant agrees to pay all fees and costs arising from this action to obtain medical treatment.

Photo Release

Edwards Road Baptist Church has permission to use, reproduce, and/or distribute photographs, films, video-tapes, and sound recordings of the Participant, without compensation or approval rights, for use in material created for purpose of promoting the activities of Edwards Road Baptist Church.
In Witness whereof, I execute this Agreement on the date set forth below.