In case of an emergency, I hereby give permission to the physician selected by the Lancaster Baptist Church Youth Leader to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named above. It is understood that the church and doctor will make every effort to contact the parent/guardian of the child before treatment. I hereby release Lancaster Baptist Church of all liability.

Regarding COVID-19
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. We have put in place preventative measures to reduce the spread of COVID-19, but we cannot guarantee that your teen will not become infected with COVID-19.

By participating in programs, services, and activities of our Organization, you agree to the following:

On behalf your children, you hereby release, covenant not to sue, discharge, and hold harmless Lancaster Baptist Church, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any hosted or programmed event by this organization.

Please take a moment to complete the online registration and health form for Thousand Pines at app.campdoc.com/register/tpcc/lbcjhhs062022. Please note your registration is not complete until both LBC and Thousand Pines forms have been submitted, along with full payment. (IMPORTANT: If you click the link above, don't forget to return to this form and hit submit before you close your browser!)