I understand that in the event medical intervention is needed, every attempt will be made to contact immediately the persons listed on this form. In the event I (we) cannot be reached, I give my permission for medical treatment to the physician or dentist selected by the adult leaders of the CrossRoads Church.
I understand that my insurance coverage will be used as primary coverage in the event a medical emergency occurs.
I understand all reasonable safety precautions will be taken at all times by the church and its agents during the events and activities. I agree not to hold the church leaders, employees and volunteer staff liable for damages, losses, diseases, or injuries incurred.
For promotional and publicity purposes, I will allow my youth’s picture to be taken and used. Names will not be used to identify persons in the pictures.