LakeView Church Student Participation Form
• I/We understand that in the event medical intervention is needed while under the care of LakeView Church, every attempt will be made to contact immediately the persons listed on this form. In the event I/We cannot be reached, I/We hereby give permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or order an injection, anesthesia, or surgery for the student(s) as deemed necessary.
• I/We further agree to hold the licensed physician, the medical facility, LakeView Church and its representatives free and harmless of any claims, demands or suits for damages arising from the authorization and provision of such medical treatment.
• I/We understand the nature of the event and do hereby release LakeView Church and its representatives from any liability due to accident or injury incurred by my child(ren).
• I/We understand all reasonable safety precautions will be taken at all times by LakeView Church Student Ministries and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold LakeView Church and its representatives liable for damages, losses, diseases, or injuries incurred by the subject of this form.
• I/We agree to cover all costs if our student(s) needs to be sent home for disciplinary reasons.
• Unless otherwise noted, signing this form will release to LakeView Church the rights to photos, video or other images of this student(s) for use in church publications.