I authorize consent to emergency medical or surgical treatment of my child. I also agree to pay for the performance of such treatment of my child. I also agree to pay for the performance of such treatment such as anesthetics, and operations as deemed necessary by the attending physician.
Although Gracevalley Church desires a safe atmosphere for all who participate in said event, I understand that accidents can happen. I understand the risks/dangers involved in said Youth Event/outing. In consideration of my child being able to participate in said event, I hereby assume responsibility for those ordinary and reasonable risks associated with such activities and associated travel.
I, on behalf of myself/ourselves and my/our child, hereby waive, release, and fully discharge, and agree to indemnify and hold harmless Gracevalley Church, its employees, leaders, volunteers, and other drivers/medical personnel, for any claims, liability, damages, actions, causes of action, or suits at law or in equity, of any kind or nature whatsoever which may accrue at any time, in any way arising from my childs participation. This release does not apply to claims of intentional misconduct or gross negligence by Gracevalley Church, and its employees or volunteers.
In case of an accident, illness, or other medical emergencies, I request that I be contacted at the phone number listed below. If I cannot be reached, or, if the medical emergency treatment requires immediate treatment, I give permission to Gracevalley, employees, and /or volunteers to obtain treatment on the behalf of my child, which, in their best judgment, is deemed advisable. I agree to full financial responsibility for all expenses incurred.