Medical & Transportation Release
The Undersigned, who is parent or legal guardian of the named child on this form, hereby authorizes and consents to the participation of said child in Summer Splash Events and gives him/her permission to make use of the Community Baptist Church (CBC) owned vehicle(s) for transportation. I agree to not hold CBC or CBC insurance companies responsible for any and all issues, medical or otherwise, arising from alternate forms of transportation arranged by the undersigned that utilizes vehicles not owned by CBC.
The Undersigned authorizes any adult Summer Splash Leader to consent, in the case of any accident or illness, to any treatment of the above young person by a licensed medical physician and/or surgeon and/or dentist or any hospitalization necessary and/or to provide first aid in the case of an emergency when the parent(s) or legal guardian(s) are not readily available. I further agree to pay any and all costs associated with treatment not covered by CBC insurance.
Community Baptist Church has my permission to use my or my child's photograph publically to promote the Summer Splash event. I understand that the images
may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.