By checking the box below, I accept that the child listed above has permission to travel with Central Baptist Church of Kirbyville to Hot Hearts. To the best of my knowledge, he/she is in good health and capable of extended physical activity. I grant my permission to the church staff/counselors and other adults in charge to administer emergency first aid to him/her should the need arise. I also grant my permission to the church staff/counselors and other adults in charge to admit him/her to a hospital or place under a physician's care if necessary. I understand that I will be notified if medical attention is needed for him/her. With my signature, I release all church staff/ counselors and other adults in charge of any and all claims, loss, cost, damage, or expense arising out of or from any accident or any other occurrence, causing injury to any person or property during this trip. In addition, I understand that Central Baptist Church, from time to time, produce promotional material about events. I understand that my child may be included in video or photographs taken at youth events and placed on promotional materials such as Facebook, Twitter, or Instagram. *
