I, the undersigned, am the parent having legal custody or the legal guardian of the student named above, a minor, and have given our consent for him/her to attend the event named above hereinafter the “Event” being organized by Riverside United Methodist Church. I understand that there are inherent risks involved in any ministry or athletic event, and I hereby release Riverside United Methodist Church, 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 course of my child’s involvement with the Event. In the event that he/she is injured while attending the Event and requires the attention of a doctor, I consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required which a physician and/or hospital personnel refuses to administer without my consent, I hereby authorize a Riverside United Methodist Church youth ministry staff member, or another adult leader designated by Riverside United Methodist Church, to give consent for me, and I agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent so long as the treatment is administered by or under the supervision of a licensed physician. I also acknowledge that I 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. Furthermore, I affirm that the health insurance information provided above is accurate at this date and will, to the best of my knowledge, still be in force for the student named above at the time of the Event. I also agree to bring my child home at my own expense should they become ill or if deemed necessary by a Riverside United Methodist Church youth ministry staff member. *