Adventure Club Registration

I, the legal parent/guardian listed above, hereby authorize the participation of the above-named child in activities at Grace Bible Church. In consideration of Grace Bible Church providing these activities, I, on behalf of myself and the other parents and guardians of the minor, do hereby release Grace Bible Church, its officers, employees, agents, and members of the Board of Elders from all claims and causes of action by reason of any injury which may be sustained as a result of these church activities, whether on the church premises or on the way to or from these activities. I agree to direct my child to cooperate and to conform with directions and instructions of personnel of the organization in charge of these activities.

I, the legal parent/guardian listed above, hereby give my permission to the physician, nurse, or dentist selected by Grace Bible Church to secure medical or dental aid as required for illness or injury under a physician’s orders, including transportation to and from the necessary facilities. As a participant, I understand Grace Bible Church is not obligated to carry any insurance to cover those medical and/or dental expenses. If such insurance is carried, coverage will be provided only for expenses in excess of the limits of the participant’s insurance. I understand that my personal insurance is my primary coverage.

I, the legal parent/guardian listed above, hereby give permission to have my child, the minor listed above, photographed/filmed for the lawful purpose associated with the Grace Adventure Club program.