I, the undersigned parent or guardian, hereby consent to my child participating in Born To Excel Summer Camp, an event sponsored by Crossroads Church of Lillington. I certify that my child is able to participate in all activities. If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them in the Emergency Medical Information section. In the event an emergency occurs, and I cannot be reached, I hereby authorize Crossroads Church of Lillington to make emergency medical decisions for my child. If there are any activities I do not want my child to be involved in, I have listed them.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED IN ASSOCIATION WITH SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO.
I do hereby agree to hold Crossroads Church of Lillington and its agents and employees harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child, even injury resulting in death, or property which I now have or which may arise in the future in connection with the activity or participation in any other associated activities. I expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the law of the State of North Carolina and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.
I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS OF AND SIGN THE RELEASE AS MY OWN FREE ACT.
I acknowledege that this is a legally binding agreement which I have read and understand.