I understand the purpose and beliefs of the Three Rivers Bible Church. If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them above.
In the event an emergency occurs, I can be reached at the telephone number/s listed on this form. If I cannot be reached within a reasonable period of time, I hereby authorize the adult sponsor, Brian Wright/Debbie Wolthuis, to make emergency medical decisions for my child.
Understanding this, I give my permission for my child, to ride the van and to attend the Three Rivers Bible Church and be taught the Bible.
I understand and hereby agree to assume all of the risks which may be encountered on said activities, including preliminary and subsequent thereto. I do hereby agree to hold Three Rivers Bible Church and its leaders and employees, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property, even injury resulting in death, which my child now has or which may arise in the future in connection with the activity or participation in any other associated activities.
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Michigan, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not mere recital.