HEALTH RECORD, CONSENT FOR TREATMENT, AND RELEASE
Note: Participant - It is important that you complete the following Health Record. Copies of this paperwork will be maintained in the Church office and taken on in-town, overnight and out of town trips.
Annual Liability Release Form
Release of All Claims - Adult Participants
In consideration of being accepted by First Baptist Church of Fairhope, Alabama Inc. for participation in all church activities, events or trips to be held during the next year, (I), being 19 years of age or older do hereby release, forever discharge and agree to hold harmless First Baptist Church of Fairhope, Alabama Inc., its staff, employees, leaders, directors, volunteers and any other agents (hereinafter called “agents”) from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned that occur while participating in any church activity, event or trip, regardless of the location(s) of such activity, event or trip.
Assumption of Risk
Furthermore, we (I) assume all risk of personal injury, sickness, death, damage and expense as a result of participation in all aspects of the above referenced activity/event for ourselves and on behalf of the child participant. Such risks may include exposure to other participants who are ill or have special medical conditions.
The undersigned agrees to hold harmless and indemnify First Baptist Church of Fairhope, Alabama Inc. and its agents for any liability and related expenses sustained by said Church as the result of the negligent, willful or intentional acts of said participant.
Medical Treatment Authorization
Permission is granted to take said participant to a doctor of hospital if needed. We (I) authorize medical treatment, including but not limited to emergencey surgery, and assume the responsibility of all medical bills, if any.
Unplanned Transportation Costs
Further, should it be necessary for the participant to return home due to medical reasons, we (I) assume all transportation costs and as appropriate, to fully indemnify and /or reimburse First Baptist Church of Fairhope, Alabama Inc. or its agents.
Further, we (I) consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of the participant during their participation in any activity, event or trip to be used, distributed, or shown as said Church sees fit including but not limited to: slide shows, church website, print media and local newspapers.
Today's date: February 27, 2024