Every student ministry activity sponsored by Immanuel Bible Church is carefully planned and supervised by mature adults. However, even with the best of planning and precaution, unforeseen accidents/injuries can occur. By signing this form, the parent or guardian agrees that his/her child(ren) has permission to participate in student ministry activities, and the parent or guardian agrees to assume and accept all risks and hazards inherent in church-related activities/transportation. He or she agrees not to hold Immanuel Bible Church or its employees or volunteers liable for: damages, losses, or injuries to the child(ren) named above. He or she also understands that the signature below is for both a medical and liability release.

"In the event that I cannot be reached in an emergency situation requiring medical treatment, I hereby give my permission to the physician or dentist selected by Immanuel Bible Church staff and/or volunteers to administer any and all necessary medical treatment to the above named child(ren), until such time as I can be contacted. This permission includes, but is not limited to, the administration of first aid, the use of an ambulance, hospitalization, the administration of anesthesia and/or surgery, under the recommendation of qualified medical personnel. I also agree to accept full financial responsibility for the cost of such treatment."