As the parent/legal guardian of my child I fully understand that my son/daughter is participating in activities sponsored by Johnston Chapel Baptist Church.  I will not hold Johnston Chapel Baptist Church, any of its agents, assigns, employees, or volunteer sponsors (hereafter all referred to as sponsors) liable for any accidents, injuries, or any other unforeseen harms incurred at any time while participating in this activity, except in the case of gross negligence.  I authorize Johnston Chapel Baptist Church and its sponsors to find adequate and reasonable medical treatment at my expense, if the need arises.

This waiver will serve as a medical release form, thus authorizing the sponsor permission to act on my behalf until such a time that I can be contacted.

I understand that by signing below, as the parent/legal guardian, I agree to and will adhere to the preceding statements and grant permission for my child to participate in this activity (Signing below does not nullify your rights granted to you by local, state, and federal laws).  I also understand that my child will not be allowed to participate if they are not accompanied by this completed form before the activity begins.