Fellowship Baptist Church
I, the undersigned, as the parent or legal guardian of the named child/children, do hereby give permission for him/her/them to participate in any of the activities conducted by Fellowship Baptist Church in Roanoke, VA.
I also hereby release, forever discharge and agree to hold harmless Fellowship Baptist Church and the directors thereof 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 and the above named child/children that occur during all activities. Furthermore, I hereby assume all risk and personal injury, sickness, death, damage, and expense as a result of participation in these activities. Further, authorization and permission is granted to furnish any necessary transportation, food, lodging required for the activities. The undersigned further hereby agrees to hold harmless and indemnify Fellowship Baptist Church, its directors, employees or agents, for any liability sustained by said church as the result of the negligent, willful or intentional acts of the above named child/children, including expenses incurred attendant thereto.
I attest that the above named child/children is/are in good physical condition. Should any accident or illness occur during any activity, I will not hold Fellowship Baptist Church or its directors responsible for medical aid rendered and will reimburse them for the medical and other expenses incurred. The above named child/children may receive necessary first aid. He/she may receive medical attention by any duly licensed physician, and may be admitted into a hospital in case of emergency.
Fellowship Baptist Church uses photographs of children and youth in print publicity such as newspapers, newsletters, brochures, Facebook, etc. and on the church website and large monitors before, after and during church service. No last names will be used on the internet. There will be no compensation for use of any photographs or videos at the time of publication or in the future.
In case of disaster, my child/children may be released into the care of a parent, legal guardian, or the below listed emergency contact persons.