2017-18 AWANA LIABILITY/MEDICAL/IMAGE RELEASE FORM

I, the parent or guardian, understand that by registering for VBS I am agreeing to the liability, medical, and photo/image releases as stated below for the minors listed in my online registration. I am at least age 18 and have the legal capacity to authorize this release.

Liability Release

Every activity in the Discovery Baptist Church (DBC) AWANA program is carefully planned and supervised. However, even with the best planning and precaution, unforeseen events and injuries can occur. By registering in the DBC Awana Club I agree to assume and accept all risks and hazards inherent in AWANA-related activities at DBC. I also agree not to hold this church or its employees or volunteer assistants liable for any injuries to the minor(s) listed in my registration, except for cases of gross negligence.


Medical Release

In the event I cannot be reached in an emergency during the club night at DBC, I hereby give my permission to the physician or dentist selected by this AWANA club leadership or church leadership to hospitalize, to secure proper treatment, and/or order an injection, anesthesia, or surgery for my child as deemed necessary.


Image
Release

I understand that church events are often photographed/recorded for publication and public relations (i.e. end-of-year videos, website promo’s, flyers, etc), and I hereby grant irrevocable permission to the DBC AWANA Club to indefinitely use photos/videos of my child(ren) for these purposes (including, but not limited to print, screen projection, the internet, etc). I waive my right to inspect and approve such use, but such use must be related solely to this AWANA Club and church and must not identify my child by name. I release the church from any and all claims arising out of said use, including but not limited to claims of libel and invasion of privacy.

I, the parent or legal guardian, understand that by registering for DBC AWANA I am agreeing to the liability, medical, and photo/image releases as stated above for the minors listed in my online registration. I am at least age 18 and have the legal capacity to authorize this release.

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