In Case Of Emergency

I understand that reasonable effort will be made to contact my provided emergency contact before medical attention is given. However, if the situation presents danger to my child's well being (if leader, my own well being), I give permission to a licensed physician to hospitalize, anesthetize, or perform surgery when medically necessary. I hereby release and do not hold any harm against Nazareth Lutheran Church, Orchard Hill Church, its agents, officers, employees, members, volunteers, and other chaperoning adults from any and all claims or causes of action regarding any act or omission resulting to injury, illness, loss, or damages to the member of my immediate family, whether directly or derivatively, arising from or pertaining in any manner to any and all matters associated with their participation in and/or occurring during their participation in the chosen activities. I also hereby acknowledge and assume, on behalf of the minor child, all the risks associated with their participation in the chosen activities, and I acknowledge that I have been fully informed by Nazareth, Orchard Hill, its agents, officers, employees and members of said risks, and having been so informed elect to assume those risks by my child's participation (if leader, my participation) in the chosen activities.

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