I (We) the parent(s) or guardian(s) of the above listed child(ren), grant permission for our child(ren) to participate in the LHBC VBS program, to be held at Living Hope Baptist Church, and to receive medical treatment if necessary. If I (we) or the listed alternate emergency contact cannot be reached, I (we) give permission to the staff of Living Hope Baptist Church to secure the services of a licensed physician to provide the necessary care for my child(ren). I (We) also agree to hold harmless Living Hope Baptist Church and all its participants from any liability and assume all risk of injury, damage or expenses as the result of participation in the activities of this event/activity. Typed full name will act as signature. *