Medical Release Consent
This consent statement gives permission to seek whatever medical attention is deemed necessary and releases Holland Avenue Baptist Church and its staff of any liability against personal losses of named student.
I/We the undersigned have legal custody of named above, a minor, and have given our consent for him/her to attend events organized by Holland Avenue Baptist Church (HABC). I/We understand that there are inherent risks involved in any ministry or fellowship event, and I/We hereby release HABC, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the natural course of the student's involvement. In the event that he/she is injured and requires medical attention, I/We consent to any reasonable medical treatment as deemed necessary by a licensed medical professional. In the event treatment is required from a physician and/or hospital personnel designated by HABC, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that I/we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/We also agree to bring the student home at my/our own expense should the student become ill or if deemed necessary by the student ministries staff member.