Medical Waiver *
Waive and Release Statement: I hereby give my permission for my child/ren listed above to take part in The Connection sponsored classes. I authorize any representative of The Connection to render immediate first aid to my child and/or to transport him/her to a medical treatment facility and/or to call ambulance. It is understood that all costs for transportation arrangements and costs associated with examination and treatment are SOLELY at my expense. I further give my permission and authorize any representative of The Connection to secure needed medical attention or treatment on the advice of any licensed physician and from a licensed physician, hospital, or medical clinic in the event that I cannot be reached for such permission. I release any representative of The Connection and/or Collierville First Baptist Church, Byhalia Road, Collierville, TN 38017 as a group or individually from any and all liability for accident, injuries, or loss of life suffered or for efforts to administer first aid for same as a result of involvement with The Connection classes and activities. I further understand and agree that in the event that the above-named sons/ daughters are involved in activities that violate or compromise the rules, or purposes of The Connection or Collierville First Baptist Church , I will pay and accept full responsibility. I understand that I am responsible for how my child arrives and leaves the campus. I have read and understand this Medical Release and Waiver. I accept and assume any and all risks of accident, injury, or loss of life associated with the activities of The Connection. This release is valid and irrevocable for the current calendar year of The Connection activities.