In case we cannot be reached during an emergency, I (we) give permission for our child/children to be treated by a licensed physician, and for said physician to administer whatever care is necessary, including anesthesia, for their safety and care.

I, for myself and any representative, hereby release and hold harmless Kentwood Baptist Church, the pastor, the assistant pastor, and other activity participants with respect to any and all injury, disability, death, or loss or damage of person or property, except that which is the result of gross negligence, and/or wanton misconduct.

I, the parent/guardian, do understand and give permission for my child/children to be transported by the church staff to the location of the church events if/as needed.  I also agree that, in the event of disciplinary problems, I will be contacted and make arrangements to pick up my child/children if necessary.