My permission is granted for the leader in charge of this short term mission trip to administer First Aid, or obtain necessary medical attention in case of sickness or injury to me or my child. Also, I understand that as a participant, myself or my child may be photographed during normal camp or event activities.

I, the undersigned, do hereby verify that the above information is correct and I do hereby release and forever discharge Lenexa Baptist Church, from any and all claims, demands, actions or causes of action, past, present, or future arising out of any damage or injury while employed by or participating in this trip. I agree to indemnify Lenexa Baptist Church for any and all claims, demands, damages, injuries, costs, suits or causes of action, past, present, or future, arising out of or causes by myself or my child while participating in this trip.

(Youth under 18 years of age requires Parent/Legal Guardian signature)