If you would like to register additional attendees, please complete this form and begin another.
IN CASE OF MEDICAL EMERGENCY when I cannot be reached by telephone, I hereby authorize the staff of IBCS to secure appropriate medical treatment such as X-ray, anesthesia, injection, medical or surgical diagnosis or treatment, and hospital care necessitated by injury or illness for my above named child while attending this event. I agree to release any records necessary for referral, treatment, billing, or insurance.
Services are to be rendered to my child by legally qualified personnel. I hereby affirm that my child has no physical condition(s) that will limit participation in the full range of activities being planned, except as listed above. I hereby waive and release IBCS from any and all liability.
I give my child(ren) permission to attend the 2017 Experience IBCS and/or Youth Conference at International Baptist College and Seminary and to engage in all activities. I agree to be responsible for the expense of medical aid where not covered by the IBCS accident insurance policy. I understand and agree that any video or photos taken of my child may be used in the publications (i.e. print, video, or internet form) of IBCS.