Emergency Contact (Not Same As Above)
By selecting the box below I agree to the following statement:
I do hereby consent to authorize and direct chaperones of Community Baptist Church to obtain for my child such medical care, treatment, and hospitalization as may deem necessary. I do hereby release, remiss, and forever discharge the chaperones and Community Baptist Church for any and all claim, demands, actions or cause actions, past, present, and future, known or unknown, arising out of any injury to my child. I give permission to Community Baptist Church to take photographs and/or videos of my child which may be used for internal publication and/or associated social media.