The undersigned is the parent and/or legal guardian of the minor child named above (hereinafter referred to as “Minor”).  The undersigned desires for said Minor to attend and/or participate in certain ministries, events, programs, functions, and activities (hereinafter referred to as “Activity”), sponsored by, connected with, or related to Trinity Baptist Church (hereinafter referred to as “Church”).

I understand and acknowledge that the Church will allow the Minor to participate in any Church activity only with my express permission.  Likewise, the Church will permit the Minor to participate based on my promise to hold the Church harmless from liability arising out of the Minor’s attendance and/or participation in the Activity listed above. 

I have investigated—or will do so—all risks involved with the Minor’s attendance and/or participation in all Activities.  Furthermore, as the parent or legal guardian of the Minor, I accept—on behalf of myself and the Minors listed above—any and all risks of personal or bodily injury to the Minor or property damages associated with said Activity.

I understand and agree that, it is possible that one or more pictures and/or video & audio recordings of my child may be taken and/or made. I expressly grant the Church exclusive license to utilize such image or recording in its promotional and educational materials.  Further, I waive and release any and all rights and/or claims for damages I may have against the Church (or against its agents, employees, volunteers and contractors) from any and all claims, damages or actions of any nature whatsoever as a result of such use or display (including, but not limited to, claims pursuant to Chapter 540, Florida Statutes).

By signing this document, on behalf of myself and the Minor, I hereby release and forever discharge the Church, its pastors, officers, directors and employees, agents and any parties volunteering on behalf of the Church from all claims, damages, costs or expenses of any kind arising out of or related to the Minor’s attendance or participation in Church Activities.  I understand that this document is a full and complete release of all claims for personal or bodily injury and property damage which the Minor might sustain as the results of the Minor’s attendance and/or participation in any Church Activity, regardless of the specific cause thereof.  I further understand and agree that in the event of such personal or bodily injury to the Minor, or property damage, that I (on behalf of myself or the Minor) will not seek any type of recovery from, or bring any type of action whatsoever against, the Church or its pastors, officers, directors, employees, or agents.

I understand that, in the event my child requires medical or dental treatment while engaged in activities with Trinity Baptist Church, reasonable efforts will be made to contact me; however, if I cannot be reached, I hereby consent and give permission to the ministry’s sponsor or any adult counselor acting on behalf of the ministry with respect to the activity, as agent for me, to consent to any X-ray examination; injections; anesthesia; medical, dental or surgical diagnosis and treatment; and hospital care and treatment advised and supervised by a physician, surgeon, or dentist (as appropriate) licensed to practice under the laws of the state where the services are rendered, either as an outpatient or in any hospital. To the best of my knowledge, I have listed above all of my child’s medical allergies, medical information and pertinent information. My child has permission to participate in all activities except as noted by me.