We, the undersigned parent/guardian(s) of the named student(s) grant permission for
participation in this event, an event sponsored by River Road Baptist Church. We have been
advised of the nature and extent of the activities that may take place and represent to you that
the participant is physically and mentally able to participate in these activities. We understand
that this activity, as in any activity for youth, does present the risk of injury, or even death, and
hold you, your agents, employees and representatives harmless from any liability to any other
person or entity arising as a result of the conduct of the participants in this activity and agree to
defend and indemnify you, your agents, employees and representatives against any claim or
liability arising as a result of such contact. If we, as parents or guardians are not personally
present at these activities in which the student is to participate, so as to be consulted in the
case of necessity, you are authorized on our behalf to arrange for such medical and hospital
treatment that you may deem advisable for the health and well being of the participant. My
child has insurance and is under supervision of the church listed above. I as the parent/
guardian authorize transportation by River Road Baptist Church.