By submitting this form I hereby give permission for my son/daughter to participate in the above-stated planned activity with Faith Bible Church Youth Group. I understand that every reasonable measure of supervision will be taken to safeguard the health/safety of my child during the event, including transportation to and from the event location. In the event that my child is injured of becomes ill while participating in an activity, I will be notified as soon as possible. In the unfortunate event of sickness or accident I agree to indemnify and hold harmless Faith Baptist Church, 5750 North Highway 101, Lincoln City, Oregon, and any personnel including but not limited to pastors, leaders, chaperones, and the drivers who are involved for all claims arising as a result of my child's participation in this activity.

IN THE EVENT OF AN EMERGENCY I authorize the leader(s) to arrange and procure transportation to their chosen physician who, in turn, may hospitalize, secure proper treatment for, and order injections, anesthesia, or surgery for my child according to their best judgement.