AWANA

When you register your child as a participant, you are giving Crestwood Baptist Church permission to videotape or take photos of you and your child. You also agree to the following: By registering my child online, I the parent or legal court appointed guardian of the registered child (Minor), with full authority to act on behalf of the Minor, do hereby agree and give my consent to the Minor participating in activities associated with Awana at Crestwood Baptist Church. I, on my own behalf and on behalf of Minor, acknowledge that participating in Awana involves certain risks and that illness, injuries, death, or other harm (including damage to Minor’s property) could occur to Minor (“Injuries”). By allowing Minor to participate in Awana, I, on my own behalf and on behalf of Minor, hereby assume full responsibility for the risk of Illness or Injuries, whether caused by negligence or otherwise. I, on my own behalf, and on behalf of Minor, and our heirs, successors, assigns, executors and administrators, hereby RELEASE AND HOLD HARMLESS AND AGREE TO INDEMNIFY Crestwood Baptist Church of Crestwood, Kentucky, Inc. and its staff, volunteer leaders, members, employees, deacons, council members, Ministry and Church Leadership (hereinafter collectively referred to as “CBC”) from and against any and all liability, claims, damages, causes of action, loss, costs and expenses (including, without limitation, attorneys fees) for Illness or Injuries arising out of or connected with Awana and participating in the activities of Awana at Crestwood Baptist Church. MEDICAL CONSENT AND AUTHORIZATION: If, while participating in Awana, Minor requires emergency medical treatment, I hereby give my consent for any emergency medical care to be rendered to Minor as may be deemed necessary by any duly licensed physician or dentist. I hereby give my permission to CBC to obtain the emergency medical treatment at any hospital, clinic or other health care provider as may be deemed appropriate. In these circumstances, I hereby request and authorize any duly licensed physicians, dentists and staff, or other licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of Minor, including but not limited to medical transport, hospital tests, injections, anesthesia, surgery and administration of prescription drugs. I assume full responsibility for all medical expenses incurred as a result of such emergency treatment.