AUTHORIZATION: I am a parent or legal guardian of the child associated with this online or in person registration  and having legal authority and custody of such child, I hereby give my authorization and consent for such child to participate in Vacation Bible School at Moose Lake Covenant Church. ADDITIONALLY: The undersigned does also hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in the activity sponsored by Moose Lake Covenant Church.   

RELEASE & INDEMNITY: I understand that there are inherent risks involved in any program. On behalf of my child and myself, I hereby waive, releases, and discharge Moose Lake Covenant, its members, officers, employees, agents and volunteers from any and all claims, liabilities and costs, including but not limited to, any injury, loss or damage to person or property that may occur during the course of the children's involvement with Vacation Bible School at MLCC. I agree to indemnify, defend and hold harmless MLCC, and its members, officers, employees, agents and volunteers, from any and all claims, liability and costs asserted by or on behalf of me or the children or any of our legal representatives, parents or theirs, within the scope of the release.

MEDICAL & DENTAL: I represent that my child has no health-related problems or concerns that would preclude or restrict participating in the programing. In the event that my child is injured while attending MLCC programs and requires the attention of a physical, dentist, or other medical personnel, I consent to any reasonable treatment as deemed necessary by such physician, dentist or other medical personnel. In the event treatment is required with a dentist, physical and/or hospital personnel refuses to administer without my consent, I hereby authorize any staff member of MLCC, or another adult leader designated by the staff, to give consent for me, and I agree to hold such person and MLCC free and harmless of any claims, demands or suits for damages arising from the giving of such consent so long as the treatment is administered by or under the supervision of a licensed physician, dentist or the medical personnel, I also acknowledge that I will ultimately be responsible for the cost of any medical or dental care should the cost of the medical or dental care not be reimbursed by the insurance provider.