I, as parent/legal guardian of the minor(s), understand that my child will be attending Project Timothy at Vineyard Church of Augusta in Augusta, GA. I understand that during this time he/she will be accompanied by volunteers from this and other Vineyards in our region under the direction of staff and volunteers from the Southeast Region of the Vineyard and Vineyard Church of Augusta.

I hereby release Vineyard Church of Augusta, as well as any other Vineyard churches who provide volunteer staff, their staff and volunteers, and any sponsors of the event, from responsibility and liability for any loss, injury, or illness that my child may sustain during any activity. In the event of an emergency, I understand that every reasonable effort to contact me will be made. In the event that I am unable to be contacted, I hereby authorize an adult leader, as agent for me, to consent to any medical, dental, or surgical diagnosis; X-ray examination; and/or hospital care advised and supervised by a physician, surgeon, or dentist (as appropriate) licensed to practice under the laws of the state or province where the services are rendered, either at the doctor's office or in any hospital.