By signing below, I confirm that I hereby release and agree to hold blameless Greater Portland Baptist Church and its employees and agents from any and every claim arising, or which may be asserted by me or any member of my family by reason of participating in any activities associated with this event.
In the event of a medical emergency, if I am unable to be reached by phone, I authorize GPBC church staff or adult sponsors on this activity to give consent to a physician and/or hospital for emergency medical or surgical treatment while on this event. It is understood that I assume all financial responsibility for any expense that may be incurred for emergency treatment.
In case of an emergency, I understand every effort will be made to contact the parent or guardian of the person named below. In the event the parent or guardian cannot be reached, this is my consent to the physician selected by the Children’s Rally director to hospitalize and secure prompt treatment for, and order injection or anesthesia or surgery for my child as named below. I also affirm that the medical information on this form is complete and correct. If you or your children have been exposed to Covid-19 within five days prior to the NWCR, please stay home. If you or your children become ill or show any Covid symptoms, please stay home. I understand that GPBC may take individual and/or group photos that include my child, which may be used in GPBC’s publications and media.