I, ____________________________________(the Parent or Legal Guardian of this child/these children), hereby give my permission for the child(ren) listed on the attached registration form to participate in Lakemont Presbyterian Church’s Vacation Bible School program. The child registered on this form is in proper physical condition and/or has no undisclosed injuries or conditions that could jeopardize his/her safety/health or the safety/health of others. I understand that the program has activities that may involve physical contact with other participants, the ground, or objects, and that there may be a resulting risk of injury to my child. In the event of an emergency, I understand that efforts will be made to contact me and/or the emergency contact I have listed. If neither can be reached, I give full permission to a representative of Lakemont Presbyterian Church to seek medical
attention for the child listed on this form in my absence. I acknowledge that participation in VBS is voluntary, and I fully release and discharge Lakemont Presbyterian Church, its pastors, employees, directors, and volunteers from any and all liability for any harm or injury suffered, directly or indirectly, in connection with the VBS program. I also hereby assume all risk, known or unknown, for the child registered on this form, in connection with their attendance and participation in Lakemont Presbyterian Church’s Vacation Bible School.