I, the parent or legal guardian of the student listed above, release Stonebridge Church of Boone together with all the adults in charge, from any and all claims resulting from injury or damage that may be sustained by my child while participating in the activity listed above. I authorize the leaders to seek medical attention for my child if necessary. I understand that in the event medical intervention is needed, every attempt will be made to contact immediately the persons listed on this form. In the event I cannot be reached in an emergency during the activity dates shown on this form, I hereby give my permission to the physician selected by the activity leader to hospitalize, to secure medical treatment and/ or to order an injection, anesthesia, or surgery for my child as deemed necessary. I understand that my insurance coverage for my child will be used as primary coverage in the event medical intervention is needed. I also understand that during this event pictures may be taken and will in turn be uploaded to social media websites such as Facebook, Twitter, Instagram, etc… If you are not ok with pictures of your student being uploaded to these sites please state your wishes below. (If you agree to these terms, please indicate below). *
