First Baptist Church Glen Rose

Please read and understand this information completely. Registration for participation at  any FBCGR camp is proof of acceptance of these terms. 

Release, Discharge, Waiver and Hold Harmless Agreement

MEDICAL ATTENTION:

I hereby authorize any staff member and/or adult sponsor who may be supervising or directing any activity sponsored by First Baptist Church Glen Rose (FBCGR) to administer any medications to my child that I have provided in their original containers using my written instructions. I also authorize medical treatment, including but not limited to emergency surgery. I agree to assume liability for any and all costs and expenses incurred,  including medical and dental costs, and that FBCGR, its staff, employees, and sponsors are not responsible.

LIABILITY RELEASE:

I understand that the risk of injury from any recreational and work activities is significant, including, but not limited to, the potential for permanent paralysis and death. While particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. I  knowingly and freely assume all risks, both known and unknown, even if arising from negligence, and assume full responsibility for my, and my child's, participation and observation of such recreational and work activities.

I do now release, forever discharge, and covenant to hold harmless FBCGR, its staff, employees, and sponsors from all liability, claims or demands for personal injury, sickness and death, as well as property damage and expenses, of any nature whatsoever while participating in any event sponsored by First Baptist Church Glen Rose, including travel to and from any church activities. This agreement also applies to all activities on or off church property.

BELONGINGS:

I give authority and permission to FBCGR, its staff, employees, and sponsors to inspect my child's belongings.

UNPLANNED EXPENSES:

If it is necessary to return home before the scheduled return, I shall assume all costs associated with such a return trip.

I assume full responsibility for any damage to property and/or equipment caused by me or my child and I understand I will be responsible for replacement of same.

TRANSPORTATION PERMISSION:

I give my permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by FBCGR.

PERMISSION FOR USE OF PICTURES: 

Photos or videos taken of me or my child during any event may be used to promote and/or report on the event in any FBCGR advertising, publication, or media. Names of minors will not be used. If I do NOT want photos to be used, I will provide a written statement of this to FBCGR staff PRIOR to the event.

PERMISSION TO PARTICIPATE:

I hereby grant my permission for my child to participate fully in any events and/or activities that are a part of any program or activity of  FBCGR.

PERMISSION FOR COUNSELING:

I understand that FBCGR sponsored activities provide a place where children can seek counsel and advice from adult leaders, staff, counselors, and others. I hereby consent to my child receiving spiritual and emotional counsel.

INFORMATION VERIFICATION:

l verify that the information provided in this registration is correct, and agree to abide by FBCGR policies including this document.