WESTWOOD BAPTIST CHURCH

                    PARENT AND GUARDIAN RELEASE AND INDEMNIFICATION

 

I, _________________________________, hereby give my consent as the parent/guardian of ___________________________ to attend/participate in the Westwood Baptist Church planned activity, ______________________________, from _______________, 200  to ______________, 200 . I do hereby agree to release, indemnify, and hold harmless the church’s employees and volunteers from any and all liability for any claim or injury or loss sustained by my/our child’s participation in the planned activity.

 

Signed (Parent/Guardian): ____________________________________ Date: __________________

 

 

I have an emergency contact and insurance sheet on file.

q Yes           q No; if no, please contact the office and fill out the emergency contact information. Copy of your insurance card is required.