I the undersigned parent or guardian, hereby consent to my child(ren) listed below to participate in the programs and activities sponsored by First Baptist Church of Hazel Park Childrens Ministries. These activities include but are not limited to Sunday School, AWANA, Bus Ministry, and VBS. I certify that my child is able to participate in these activities.

Please note any medical issues or allergies that your child(ren) has. If there are no allergies/medical issues type N/A

I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Michigan and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital. I understand that riding the bus/van is a privilege and is conditional upon the good conduct of those listed below. I also understand that no child may ride the bus without a permission slip signed by a parent or legal guardian. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement that I have read and understand.

If your child(ren) is able to participate in all activities, type N/A

If my child has medical conditions that may be relevant to a physician in the event of an emergency, I have listed them below. In the event an emergency occurs, I may be reached at the telephone number listed below. If I cannot be reached, I hereby authorize the childrens ministry workers to make emergency medical decisions for my child. If there are any activities I do not want my child to be involved in, I have listed them below. I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold First Baptist Church of Hazel Park and its volunteers and employees, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.I further state that I HAVE CAREFULLY READ THE FOREGOING RELEA

I (We) the parent(s) and/or guardians of my (our) minor child(ren) listed above do hereby consent and authorize the release, publication, dissemination, distribution, use and/or reproduction of any and all photographs/videos taken of my (our) child(ren) during FBCHP Childrens Ministry activities by an employee or representative of First Baptist Church of Hazel Park. The photographs/videos will be used for any of the following: church bulletin board display, event video, classroom bulletin board, social media and/or the FBCHP website.