By signing this form I am hereby giving permission for the above named person to participate in and travel to and from events sponsored by Welti Cumberland Presbyterian Church for the duration of the time listed above. In case of accident or injury, permission is granted for medical treatment to be administered, as needed. I acknowledge that, in the event of injury or accident, our own medical insurance takes priority. In the case that I/we are not adequately insured in the case of injury or accident, I agree personally to assume the risk for our family and ourselves. I also, agree to cover the cost of any damage my child may cause to the facilities they will be using. I also acknowledge that the church is not responsible for the loss of personal property. I agree to come transport my child home if they disqualify themselves from any event. Disqualification may occur if my child commits a major violation such as inappropriate sexual conduct, possession and/or use of tobacco, alcohol, or illegal substances, or unwillingness to follow instructions of the youth leader/chaperon/camp/retreat director in charge. The youth leader/chaperon from Welti CPC will determine if disqualification is necessary. I also agree not to hold Welti Cumberland Presbyterian Church, Hope Presbytery of the Cumberland Presbyterian Church, Southeast Synod of the Cumberland Presbyterian Church, Cumberland Presbyterian denomination, and/or the adult chaperone's responsible for any injury or damages my youth may incur.