VACATION BIBLE SCHOOL CONSENT AND RELEASE FORM
I, the undersigned parent or guardian, hereby consent to my child, participating in the activities connected with trips to and from, as well, as the time at Vacation Bible School at Victory Baptist Church of Hanover, PA from August 12, 2019 to August 16, 2019.
I certify that my child is able to participate in all activities scheduled for Vacation Bible School. If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them below. In the event an emergency occurs, I may be reached at the telephone number listed below. If I cannot be reached within a reasonable period of time, I hereby authorize an adult worker, (not limited to but including the Pastor, Assistant Pastor, Bus captain, VBS worker, bus worker, etc.) to make emergency medical decisions for my child.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED DURING SAID ACTIVITIES OCCURRING DURING VACATION BIBLE SCHOOL, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold Victory Baptist Church of Hanover, PA and its agents and employees, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.
I expressly agree that this release, waiver and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Pennsylvania and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital.
I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement which I have read and understand.
By typing my initials in this box I am giving my electronic signature and agreeing to all of the details of the above consent and release form.