Liability release and consent for treatment in the unlikely event that my child is injured while participating in activities directed by Faith Baptist Church Kids Camp Ministry Team or in route to such activities, my child and I relinquish all rights to recover damages for any and all injuries sustained by my child. In consideration for Faith Baptist Church Kids Camp Ministry granting my child permission to participate in children's ministry activities, I hereby release Faith Baptist Church, its employees and volunteers from liability or injuries occurring in all activities. In case of emergency, I hereby authorize Faith Baptist Church to contact emergency personnel and release pertinent personal information so that my child may receive treatment. I also understand that Faith Baptist Church will not be responsible for medical expenses incurred solely on the basis of the authorization.

In case of emergency (when parent/guardian cannot be reached) contact the following:

People who have my permission to pick up my children) when I am unable to:

I acknowledge that I have read and completed the above information:

Liability and Medical Release Form

Irrevocable Release of All Claims

READ CAREFULLY AND SIGN: I hereby request that my child (or I being 21 years or age or older) be accepted to attend Camp Ta-Ku- La. I understand and am aware that my child (or I) will be participating daily in many physical activities and that the potential for accidents and or exposure to pathogens does exist. I hereby give my permission for my child (or myself) to ride in camp buses and vehicles. Furthermore, I authorize the camp to furnish food, lodging and transportation to my child (or myself.) As further consideration for the acceptance of my child (or myself) to attend Camp Ta-Ku-La, I, individually, or on behalf of my child, hereby release, discharge, indemnify and hold Camp Ta-Ku-La and the sponsoring church or organization and respective directors, officers, employees, agents, and representatives (the Released Parties) from any and all liability and any and all claims or demands for loss or damage on account of injury, illness or death to a person or property, and any and all costs and expenses, including without limitation attorney's fees, whether caused in whole or in part by the negligence of the Released Parties or any of them, as a direct or indirect result of my child's (or my) attendance at Camp Ta-Ku-La, and I, individually, and on behalf of my child (or myself) hereby waive any and all claims and causes of action against the Released Parties or any of them, resulting directly or indirectly from my child's (or my) attendance at Camp Ta-Ku-La. Irrevocable Release of All Claims

PARENTS AUTHORIZATION TO PROVIDE NECESSARY TREATMENT: I hereby give permission to the medical personnel selected by the camp director and/or staff to order X-rays, routine tests, treatment, to release any and all records necessary for insurance purposes, and to provide or arrange related transportation for me or my child. In the event I cannot be reached in an emergency, I hereby give my permission to the physician selected by the camp director and/or staff to secure and administer treatment including emergency treatment, surgery or hospitalization, for the person named above. I assume the responsibility of all medical bills and ancillary incurred expenses. Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, I hereby assume all transportation costs. Activities: I give my child permission to participate in all activities (zip-line, climbing tower, human foosball, cage dodge ball, and gun range] Irrevocable Release of All Claims

Camp Ta-Ku-La has my permission to use photographs and videos of my child named above taken during camp for promotional purposes. No first and last names will be published without permission.

I have read and understand the foregoing terms and conditions, including without limitations the release provision, and by my signature knowingly agree to each and every term and condition as stated above.

I request that the above medication(s) be given as directed by parent/legal guardian. I give my permission for the medication(s) to be dispensed by the camp nurse.