I give my permission for the subject of this release to be involved in the overall activities connected with King Street Church events in which I allow my child to participate this year. I also give my permission for this form to be filed and used for each activity my child is a part of.

I agree that the subject of this release will abide by the rules set for the activities. I also acknowledge that if the subject of the release has to return home early from a trip or event for discipline violations, it will be at my expense.

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 cannot be reached in an emergency, I hereby give my permission to the physician or dentist selected by the activity leader to hospitalize, secure medical treatment and/or order an injection, anesthesia, or surgery for my child as deemed necessary.

I understand all reasonable safety precautions will be taken at all times by the church and Road Crew leaders during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold the church, trip leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form.

I hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted, while participating in the activity sponsored by the King Street Church.

If a disagreement arises, the Participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable process. If the participate (or parent/guardian) and King Street Church cannot agree upon such a process a three-member arbitration panel for resolution pursuant to the rules of the American Arbitration Association will be contacted.

I further give permission for still or moving images of my child to be used by the church for promotional purposes in printed and/or electronic media.