Liability Release: In consideration of Bethlehem United Methodist Church (BUMC) allowing the children listed to participate in Vacation Bible School (VBS)activities, I, the undersigned, do hereby release forever discharge and agree to hold harmless BUMC, it's directors, employees, volunteers and agents (collectively herein the "Church") from any and all liability, claims, or demands for accidental personal injury, sickness or death as well as property damage and expenses of any nature whatsoever that may be incurred by the undersigned and above children while involved in VBS. Furthermore, on behalf of my minor children, I hereby assume all risk of accidental personal injury, sickness, death,damage and expense as a result of participation in activities involved therein. As well as releasing the children , if necessary for transportation to and from VBS location, I the undersigned do hereby release, forever discharge, and agree to hold harmless BUMC, its directors, employees, volunteers, and agents from any and all liability, claims, or demands for accidental personal injury in the process of transportation.
Medical Treatment Permission: I authorize an adult in whose care the minor has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment and hospital care to be rendered to the minor under the general or special supervision and on the advise of any physician or dentist licensed on the medical staff of a licensed hospital or emergency care facility The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorizations.
Photo/Video Permission: I Do/I Do Not (circle one) give my consent to BUMC to use photo or video images taken of my child in church brochures, advertisements for the church on the website in social media and in other church publications as they see fit. I agree to hold harmless BUMC from any liability which may result from the use of said pictures. This form will apply throughout my child(ren)'s tenure at BUMC **None of the photos will be for personal use**
I hereby give permission for my child to participate in VBS at BUMC from June 17-20, 2024.
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Parent/Guardian Signature Date