Authorization for Emergency Medical Treatment and Relase of Liability

I hold harmless the First Baptist Church of Haralson and its representatives from any adverse reaction or results to the participant as a result of participation in events, activities or trips. I understand that in the event the participant requires medical treatment while engaged in events, activities, and trips with the First Baptist Church of Haralson, reasonable effort will be made to contact me. If I cannot be reached, then at the discretion of the ministry representative, I grant permission to the ministry representative acting on behalf of the ministry as agent for me, to obtain all necessary medical attention in case of sickness or injury. I realize that the release form is valid for use during VACATION BIBLE SCHOOL from June 17th- June 28th.