I, the undersigned parent or guardian, hereby consent to my child participating in Godly Girl Camp, an event sponsored by Crossroads Church. I certify that my child is able to participate in all activities. If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them in the Emergency Medical Information section. In the event an emergency occurs, and I cannot be reached, I hereby authorize Crossroads Church to make emergency medical decisions for my child. If there are any activities I do not want my child to be involved in, I have listed them
below. I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAYBE ENCOUNTERED IN ASSOCIATION WITH SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold Crossroads Church and its agents and employees, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account
of injury to my child, even injury resulting in death, or property which I now have or which may arise in the future in connection with the activity or participation in any other associated activities. I expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the law of the State of North Carolina and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS OF AND SIGN THE RELEASE AS
MY OWN FREE ACT. This is a legally binding agreement which I have read and understand.