The undersigned gives permission for their child to participate in the above named activity and releases First United Presbyterian Church (Dale City, VA), their officers, employees, and agents from any liability whatsoever for any injury or death to person or loss or damage to property sustained by the undersigned for any member of his or her family in attendance, and the undersigned agrees to defend and indemnify First United Presbyterian Church (Dale City, VA), their officers, employees, and agents from any liability or loss they might sustain by reason thereof. In the event I cannot be reached in an EMERGENCY, I hereby give permission to the physician selected by the Pastor or Drama Director of First United Presbyterian Church to hospitalize, secure proper treatment for, and order injection, anesthesia, or surgery for my child as named above. Electronic Signature (Please type your full name below): *