Medical Release & Parental Consent Form

Consent Agreement

This consent form is to verify that the group leader, chaperone, or representative from Old Fellowship Baptist Church in charge of the activity in which my (above listed) child is participating has my permission to secure medical attention and services for the above-named person. I also agree the Old Fellowship Baptist Church will not be held liable for any injury sustained while on this activity. I assume all costs and expenses incurred in connection with such medical and dental services rendered pursuant to this authorization. The undersigned does also agree to ride in any vehicle designated by the OFBC representative while attending and participating in activities sponsored by Old Fellowship Baptist Church. I understand that I am voluntarily participating in OFBC sponsored activities. Further, I understand that I do hereby waive liability, release and forever discharge OFBC of and from any and all claims, demands, rights, and causes of action of whatever kind of nature, arising out of all known and unknown, foreseen, and unforeseen bodily and personal injuries, damage to property, and the consequences thereof, including death, resulting from this voluntary participation in or in any way connected with these activities and transportation.

By entering your name below and submitting this form, you hereby consent to the above agreement.