*I hereby give my permission for my child (or myself) to participate in the Senior Night trip to Oxford, MS April 16, 2025. I certify that my child is (or I am) healthy and capable of participating, or I have communicated any medical conditions of which Independent Presbyterian Church (“IPC”) should be aware that may hinder my child’s (or my) participation. I understand that it is solely my responsibility to determine if there is any medical reason that my child (or I) should not participate. In consideration for IPC allowing my child (or me) to participate, I hereby, on behalf of myself and on behalf of my minor child, release, discharge, waive my right to sue, and agree to indemnify and hold harmless IPC, its directors, officers, staff, employees, volunteers, agents, and third party contractors, from any and all legal claims, liabilities, losses, expenses and demands of any nature whatsoever, including those related to personal injury, sickness, harm, death, or property damages suffered by my child or me as a result of, or arising in any way out of, my child’s (or my) participation. Furthermore, I acknowledge that there are risks involved in participating, and I hereby, on behalf of my minor child, assume all risk of personal injury, sickness, death, damage and expense arising out of or related to my child’s (or my) participation. I hereby authorize IPC and its staff, employees, volunteers, agents, and third party contractors to provide necessary transportation, food, and lodging for my child’s (or my) participation. In the event of a medical emergency, I understand that IPC will make reasonable efforts to contact me or my child’s (or my) emergency contacts, however: (1) I authorize IPC and its staff, employees, or volunteers to administer first aid or CPR to my child (or me), if they think it is necessary; (2) I authorize IPC and its staff, employees, or volunteers to administer appropriate medication to my child (or myself) if they deem it necessary, except for any medications I have listed below, to call for emergency treatment, if necessary, to transport my child (or myself) to a medical treatment facility, and to consent, if I or the emergency contacts cannot be reached, to xrays, medical or dental examination, diagnosis, treatment, or hospital care, including emergency surgery, as advised by the treating physician, surgeon, or dentist; and (3) I authorize IPC and its staff, employees or volunteers to disclose any relevant medical information about my child (or me) as necessary for his/her (or my) treatment. I understand that I will be solely responsible for any medical, hospital or related charges, which may be incurred, on behalf of my child (or myself) in connection with any injury, illness or other medical condition suffered by him/her (or me) during these trips or activities. Upon request, I will reimburse IPC for any charges paid by them on my child’s (or my) behalf. I also authorize IPC, its staff, employees, and volunteers to photograph or digitally record images of my child (or me) and to record my child’s (or my) voice during his/ her (or my) participation and I authorize IPC to use such photos, images or recordings for any purpose relating to the IPC youth ministry. I waive any and all privacy or intellectual property rights I or my child may have with respect to any such photos, images, or recordings, and release IPC and its directors, officers, staff, employees, volunteers, agents, and third party contractors, from any and all legal claims, demands, or causes of action, of any nature whatsoever, relating to photos, images, or recordings taken of my child (or me) pursuant to this authorization.
