MEDICAL & DISCIPLINARY LIABILITY RELEASE - I, for myself and the named participant on this form, and on behalf of my estate, heirs, executors and administrators do hereby fully release and discharge Jefferson City Christian Church (JC3), from any and all liabilities, claims, obligations, damages and causes of action whatsoever arising or growing out of my travel and/or participation in the programs of Jefferson City Christian Church (JC3). I also understand that I am responsible for all medical bills related to such activity. Should it be necessary for me to return home due to medical reasons or disciplinary action, I will assume total responsibility for all transportation costs to and from the event. I understand that I am serving at my own risk and that Jefferson City Christian Church (JC3) is not liable in the event of sickness, injury, accident, theft, terrorist acts, or death. I, hereby consent and authorize Jefferson City Christian Church (JC3) and designees, to authorize any medical treatment deemed necessary while participating in any activity applicable to this form should the named participant be mentally and/or physically incapable of making such a decision. My indication below shows that the information that I have provided on this application is true and accurate and that I have read this entire document, understand it completely and agree to the conditions and terms stated herein.
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