Building the House of God 5K
August 9th, 2017 at Indianfields Park, Caro, MI
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I have full knowledge of the risks involved and am physically fit to participate in this event. Also, in consideration of my participation in this event, I release and discharge St. Paul Lutheran Church, Caro and other participating organizations, including sponsors, for injuries or damages incurred during the event. I also authorize St. Paul Lutheran Church to utilize any photographs and/or video recordings of my participation in any St. Paul Lutheran Church event for any and all purposes, and to communicate with me about future events/promotions. I hereby give my permission for any above minor to participate in above activity. I hereby further give my permission for any above minor be given any necessary X-ray, examination, anesthetic, medical, or surgical treatment under the supervision of any physician or surgeon licensed under the Medical Practice Act. This authorization is given pursuant to the provisions of Section 2 of Act 116 of Public Acts 1973 (MCL) and after a reasonable attempt has been made to contact parents or guardians, *
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