"In consideration of your accepting my child for participation in VBS, I hereby, for my heirs, executors, administrators, and myself waive and release any and all rights and claims for damages that I may have against St. John Lutheran Church and its agents, employees, representatives, successors and assigns for any and all injuries suffered by myself or my child that arise out of VBS sponsored by the above named organization.

I warrant that I have the right to authorize the foregoing and do hereby agree to hold the above-named organization harmless of and from all liability of whatever nature which may arise out of or result from such participation. For the consideration stated above, I further agree that in the event that my child or I should make any claim against the above named organization for damages arising out of the above named program or its activities, I will personally indemnify, defend, and hold harmless the organization and its agents, employees, representatives, successors, and assigns against any and all loss and damage, occasioned thereby, including attorney's fees. By indicated signature below I give permission to treat my child in case of a medical emergency.

I also give permission to St. John Lutheran Church to use photographs, videos, and other recording, likenesses and images in promoting other activities sponsored by the church.