I hereby give permission for my child to attend and participate in any and all activities sponsored by Cypress Baptist Church during MIDDLE SCHOOL CAMP 2019, including any activities which may be of a hazardous nature and/or include physical and/or strenuous activity, and assume all risk associated therewith. I certify that, to my knowledge, my son/daughter has not been exposed to any contagious disease within the past 30 days. In the event of an emergency wherein I cannot be reached, I hereby give my consent to medical, dental, and surgical treatment as needed in the judgement of the treating physician chosen by representatives of Cypress Baptist Church. I also give Cypress Baptist Church and its representatives permission to transport my child during MIDDLE SCHOOL CAMP 2019 activities, as well as at their discretion in case of emergency. I agree to pay all costs and expenses incurred in connection with such services rendered to my child and to pay any and all costs related to transportation to a medical treatment center is transportation is by ambulance or otherwise.
To the fullest extent permitted by law, I hereby agree to unconditionally release, waive, relinquish, covenant not to sue, defend, indemnify, and forever hold Cypress Baptist Church, its agents, and employees harmless from any and all liability, actions, claims, expenses, and damages on account of injury to my child, property, or death, which I now have or which may arise in the future directly or indirectly arising out of or in any way relating to the provision of medical treatment, transportation, or participation in MIDDLE SCHOOL CAMP 2019 and other associated activities of any kind or nature wherever or however the same may occur, whether in whole or in part from the negligent acts and/or omissions of Cypress Baptist Church.
I understand and will allow photos and videos of child to be taken while at MIDDLE SCHOOL CAMP 2019 to be used in any Cypress Baptist Church publication and that Cypress Baptist Church shall have the exclusive right to control and determine the use, display, performance, reproductions, and dissemination of such photos and videos. I also understand that publications of these photos may be accomplished electronically via the internet and that after publication, Cypress Baptist Church will be unable to prevent persons from gaining access to the internet, copying the photos and video from three, and subsequently using, altering, or republishing them without my consent. I waive any claim or damages against Cypress Baptist Church from unconsented use, alteration, or republishing of my photographs and video by third parties accessing the internet.
Also, though we do our best in the assignment of students in host homes, we only guarantee one of the students listed on the front. Lack of cooperation with Cypress Baptist Church and/or MIDDLE SCHOOL CAMP 2019 policies will result in my child returning home.
***All payments are non-refundable pending the discretion of Student Ministry Staff.