By digitally submitting this form, I grant my permission for the Camp Director, Assistant Director, or other Staff person in charge to obtain necessary medical treatment in case of sickness or injury to the Camper named above. I do hereby release and forever discharge all sponsors, Middle Florida Baptist Assembly; Inc.(Pickett Lake Camp), and the event named above from any and all claims, demands, actions or cause of action, past, present or future arising out of any damage or injury while employed or participating in the event during the dates listed above. I hereby also agree to assume obligation for any necessary expense not covered by Middle Florida Baptist Assembly; Inc.'s insurance policy on the Camper named above. *
