PERMISSION SLIP FOR CHURCH FUNCTION
I, ____________________________, the parent or legal guardian hereby give my permission for ______________________, to attend the following activity: MYSPACE: FINDING MY PLACE YOUTH RALLY AT BIBLE BAPTIST CHURCH LAWTON, OKLAHOMA ON THE 15-16TH OF AUGUST FROM 9:00 PM TO 6:00 AM with Bible Baptist Church. I understand that this participation is voluntary, and I do hereby release, forever discharge and agree to hold harmless the Bible Baptist Church, and the representatives thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the participant that occur while said person is participating in the above-described trip or activity including travel to and from the above listed event.
The undersigned further hereby agrees to hold harmless and indemnify said church, its directors, employees and agents for any liability sustained by said acts of said participant, including expenses incurred attendant thereto.
The undersigned further consents to the administration of first-aid and/or doctor's care, or any other form of medical treatment necessitated by illness or injury that may require the same. In the event of the necessity of such care or treatment as heretofore described, the undersigned agrees to hold harmless and indemnify said church, its directors, employees and agents from any acts of malfeasance, and/or failure to act on the part of those chosen to administer medical care on behalf of the participant.
I have read and understand the above:
____________________________________
(Signature)(Parent/Guardian, if under 18 )
_____________________________________
(Director Signature)
Signed this _________ day of _______________________, 2008.
Participant's Insurance Company ________________________________________
Policy Number __________________________________
Home Telephone _________________________________
We will meet at the church at 8:30pm and we will be finished by 6:15am. We hope that you will attend this exciting event with us.