Event: 2RC Kids Summer Blast

I, as the undersigned, am the legal guardian of the above child a minor and have given my consent for him/her to participate in activities hosted by Two Rivers Church. In consideration of the Two Rivers Church granting the child permission to participate in any Two Rivers Church sponsored event, I hereby assume all risks of her/his injury (including death) that may result from any hosted activity. As parent/guardian I do hereby release and agree to indemnify, defend and hold harmless the Two Rivers Church, Two Rivers Church Staff, an associated adult supervisor and all participants in the activity from and against all liability including claims and suits of law or in equity for injury (fatal or otherwise) which may result from any negligence and/or the child taking part in activities. In the event that he/she is injured while participating and requires the attention of a doctor, I consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is called for, which a physician and/or hospital personnel refuses to administer without my consent, I hereby authorize Two Rivers Church Staff, or an associated adult supervisor to give such consent for me if I cannot be reached by telephone at one of the numbers listed above, or because of an emergency in which there is not time or opportunity to make a telephone call. In the event it becomes necessary for that person to give consent for me, I agree to hold such person, other associated adults and Two Rivers Church free and harmless of claims, demands, or suits for damages which may arise from the giving of such consent. I also acknowledge that I will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. By agreeing I acknowledge that attendance at any Two Rivers Kids Ministry Event grants permission to use the above named child’s photographs and images in Two Rivers Church promotional material.