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Child's Name
Child's Gender
Parent/Guardian Name
In Case of Emergency, Contact
Permission & Agreement
Permission to Participate:

I, hereby grant permission for my child to participate in the BLAST hosted by Lewisville Bible Church. I understand that my child will be under the supervision of responsible adults at all times during the event.

Photography and Video Release:

I hereby grant Lewisville Bible Church the irrevocable and unrestricted right to use and publish photographs and/or videos of my child taken during BLAST for use in materials promoting future events, including but not limited to, promotional videos, brochures, newsletters, and the church website or social media platforms.

Liability Waiver:

I understand that participation in BLAST involves certain risks, including but not limited to, accidents, injury, and loss or damage to personal property. I hereby release Lewisville Bible Church, its employees, volunteers, and agents from any and all liability, claims, demands, and causes of action arising out of or related to any loss, damage, or injury that may occur as a result of my child's participation in BLAST.

Emergency Medical Treatment Authorization:

In the event of a medical emergency, I authorize Lewisville Bible Church and its representatives to secure necessary medical treatment for my child, including but not limited to, transportation to a medical facility, administration of medication, and emergency medical procedures. I understand that every effort will be made to contact me in the event of a medical emergency.