By submitting this form, I consent to the following: I understand that, while the staff, helpers and leaders of St. Paul Lutheran Church & School will take precautions to ensure the safety of all children while they are at the Harvest Festival, I will not hold them liable for any injury or cost incurred by injury during the activities of the Harvest Festival; I acknowledge that it is my responsibility to monitor and watch my children and I, therefore, freely and voluntarily agree to assume and take on myself all of the risks and responsibilities in any way associated with this activity. I know that if I/my child/children become ill or injured while participating in this activity, I am responsible for all health care expenses; I release St. Paul Lutheran Church & School, its Council, employees, and agents from all liability, claims and actions that may arise from injury or harm to me and my child/children, from damage to my property in connection with this activity; I consent that St. Paul Lutheran Church & School, through its employees, agents and volunteers may secure such medical advice and services as those individuals, in their sole discretion, may deem necessary for my child’s health and safety, and that I shall be financially responsible for such advice and services; I understand that the contact information collected on this form may be used by St. Paul Lutheran Church & School to invite me/us to future events and activities of the congregation;

I understand that typing my first and last name constitutes a legal signature confirming that I acknowledge and agree to the above Medical Consent & Waiver. Please type your first and last name below: