I am an emancipated adult or the parent/guardian of a minor child who will be participating in the Family Missions Company event (Faith Camp). I am fully aware that my own/my child’s participation at the event is totally voluntary. In consideration of Family Mission Company’s agreement to permit me/my child to participate in the event, the receipt and sufficiency of which consideration is hereby acknowledged, I agree as follows:


I hereby give consent for me and/or my child/legal ward to receive emergency medical treatment deemed necessary by a licensed medical physician and further release Family Missions Company from any and all financial liabilities incurred for the my medical treatment and/or that of my child/legal ward. Furthermore, presentation of this document, displaying my original signature, to the hospital and/or physician involved in my care and/or that of my child/legal ward confirms my acceptance of the financial responsibilities incurred. I further consent to the release of information regarding my medical treatment and/or that of my child/legal ward to my medical insurance company and its representatives.


I agree, on behalf of myself and my child/legal ward named herein, to indemnify, hold harmless, and defend Family Missions Company, its officers, directors, employees, and agents, chaperones, or representatives associated with Faith Camp, from any claim arising from or in connection with me and/or my child/legal ward attending the event or in connection with any illness or injury (including death) or cost of medical treatment for my child in connection therewith. I agree to compensate Family Missions Company or its agents for reasonable attorney’s fees and expenses they may incur defending any such claims.


Media Release: I hereby grant Family Missions Company my consent without reservation to use, assign, convey, reproduce, copyright, publish, or sell my child/legal ward’s name, voice, image, and/or likeness that arises from his/her participation in the event (Faith Camp), whether still or motion pictures, audio of video recordings, for promotional, instructional, business or any other lawful purposes, at Family Missions Company’s sole discretion.


In signing this Agreement, I hereby acknowledge and represent that I have read this entire document, that I understand its terms and provisions, that I understand it affects my legal rights, as well as, if applicable, those of my child, that it is a binding agreement, and that I have signed it knowingly and voluntarily.

I understand that my child will leave the premises of Faith Camp on the Thursday of camp week for a day of service, and a church visit.