In consideration for being accepted by your sponsoring church for participation at Bethel Youth Conference, we being 21 years of age or older, do for ourselves, myself, and for and on behalf of my child participant if said child is not 21 years of age or older, do hereby release, forever discharge, and agree to hold harmless sponsoring church and Bethel Youth Conference and the directors thereof from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and the child participant that occur while said child is participating at Bethel Youth Conference.
Furthermore, we, or I, and on behalf of my child participant if under the age of 21, hereby assume all risk of personal injury, sickness, death, damage, and expense as a result of participation in recreation and work activities involved therein. Furthermore, authorization and permission is hereby given to any necessary transportation, food, and lodging for this participant.
The undersigned further hereby does agree to hold harmless and indemnify said conference center and church, its directors, employees, and agents, for any liability sustained by said as a result of diligent, willful, or intentional acts of said participant, including expenses incurred attendant thereto,
We (I) authorize an adult, in whose care the minor has been entrusted, to consent to any X-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care, to be rendered to the minor under the general of special supervision and on the advice of any physician or dentist licensed under the medical practice Act on the medical staff or a licensed medical hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.
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 authorization. Should it be necessary for our (my) child to return home due to medical reasons, disciplinary action, or otherwise, we do hereby assume all transportation costs.
The undersigned does also hereby give permission for our child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending an participation in activities sponsored by the conference center or church.
