I understand that there are inherent risks involved in any ministry activity, and I hereby release the Central Christian Church and its ministries, hereafter known as the Church; its employees, agents, and volunteers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of the participant’s involvement. I give the employees and/or representatives of the Church permission to authorize emergency medical and dental treatment. In the event that the named participant is injured 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 from a physician and/or hospital personnel designated by the Church, I agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. 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.

As a parent/guardian, I give my permission for the named minor to attend this Central Kids weekly activity including regular club nights and any special activities from September through April of the current program year. I also authorize treatment under the direction of any licensed physician of the following minor in the event of a medical emergency which in the opinion of the attending physician may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted after a reasonable effort has been made to reach me by phone at the numbers listed above. I declare that I will not hold Central Christian Church or their staff, administration, workers, or sponsors liable for any injury to or loss of possessions by the following minor during any activity either on the church property or away, including regular meetings as well as special events.