Please type your name below to sign for the following: As the legal custodial parent or guardian of the student who
desires to voluntarily participate in the event listed above (VBS), assume all
responsibility for any accidents or other mishaps, including, but not limited
to, serious bodily injury, permanent disability, and/or death, with respect to
my child, and I hereby waive my right and child's right to any claim, cause of
action, and/or right to file a lawsuit, and further release the Bedford Free
Methodist Church, Wabash Conference of the Free Methodist Church, the Free
Methodist Church of North America, and the directors, officers, sponsors,
employees, agents, and volunteers of each entity from any and all
responsibility or liability of any nature whatsoever for any loss or damage to
my child’s property or person, including personal injury and/ or death
sustained on (VBS) described above. This instrument shall be
binding upon the relatives, personal representatives, heirs, beneficiaries,
next of kin or assigns of the above-named child and shall insure to the benefit
of the organizations named as well as their directors, officers, sponsors,
employees, agents, volunteers, successors and assigns. I have carefully read
this Waiver & Release of Liability & Permission for Treatment and by my
signature, I am stating that I understand, and accept all of its provisions,
and understand that I am giving away substantial legal rights for both my child
and myself and have the appropriate authority to execute this Waiver &
Release. I also give permission to the staff of the Bedford Free Methodist
Church and its trusted volunteers to order x-rays, routine tests, and treatment
for my child if I cannot be reached in an emergency. I further give permission
to hospitalize, secure treatment, and order injections, anesthesia, or surgery
for my child named above.