1. Parent warrants and agrees that he/she (a) has legal custody or is the legal guardian of the minor listed above; (b)understands the terms of this Release and Consent; and (c) has signed this document by his/her own free will.

2. Parent acknowledges that Minor will, with Parent’s permission, participate in certain activities (“Church activities”) conducted by, sponsored or attended by Cornerstone Community Church, its directors, officers, employees, and agents or members (collectively referred to as “Church”) during the duration of this agreement.

3. Parent, individually and on behalf of Minor, releases and agrees to hold Church harmless from any and all liability, including liability for negligence and gross negligence of the Church or its agents, servants, employees or representatives, for harm to Minor or Minor’s personal property, resulting directly or indirectly from (i) Minor’s participation in the Church activities (ii) transportation to and/or from the Church activities and (iii) any and all activities incident to the Church activities. This release includes all liabilities connected with the Church activities, including but not limited to liability for negligence or gross negligence of the Church, whether foreseen or unforeseen. Parent, individually and on behalf of Minor, personally assumes all risks and liabilities in connection with Minor’s participation in Church activities and agrees to indemnify Church against any liability, which might be assessed against it as a direct or indirect result of Minor’s participation in Church activities.

4. In the event of Minor’s injury during any Church activity and Parent’s unavailability to authorize medical treatment, Parent authorizes dental, medical, or surgical treatment, including but not limited to the administration of X-rays, anesthesia, by any medical professional chosen by the Church. Parent understands and agrees that this consent is given to encourage the Church and said licensed medical professional to exercise their best judgment as to such diagnosis or medical, dental, or surgical treatment Parent personally assumes the duty of payment of any physician, dentist, surgeon, hospital, clinic, or ambulance service and releases Church from any such duty of payment or any harm resulting from the choice of medical provider.

5. Photo Release. With my signature below I grant permission for my child(ren) to be photographed, or their images recorded for print or electronic use in promoting the youth group’s services.