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AWANA 2017-2018 Liability Release/Authorization for Medical Care Form (Release of All Claims)
Please fully complete the following knowing that its submission represents your agreement and online signature represents your signature.  ALL FIELDS REQUIRED.
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 The submission of this form represents my agreement and online signature represents my signature.  I do hereby release, forever discharge and agree to hold harmless Grace Evangelical Free Church of Allen, TX, its Board, Staff and Child Sponsors from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the participant(s) that occur while said person(s) is(are) participating in any activity of Grace Evangelical Free Church, whether on or off church property.  The undersigned further hereby agrees to hold harmless and indemnify said church, its directors, employees and agents from any liability sustained by said acts of said participant(s), including expenses incurred attendant thereto.  The undersigned further consents to the administration of first-aid and/or doctor’s care, or any other form of medical treatment necessitated by illness or injury that may require the same. In the event of the necessity of such care or treatment as heretofore described, the undersigned agrees to hold harmless and indemnify said church, its directors, employees and agents from any acts of malfeasance, and/or failure to act on the part of those chosen to administer medical care on behalf of the participant(s). *
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