I, (Participant/Parent/Guardian), grant permission for myself/child, to participate in this church event that requires transportation. This activity will take place under the guidance and direction of employees and/or volunteers from Kirby Baptist Church.

A brief description of the activity follows:

Type of event: Family Camp 2024
Location of event: H.E.Butt Foundation Camp, 11756 North U.S. HWY 83, Leakey, TX 78873
Individual(s) in charge: Greg Jackson, Family Pastor
Date and time of departure: January 26th, 2024 at 5 PM
Return: January 28th, 2024
Mode of transportation: KBC Bus

I, (Participant/Parent/Guardian), remain legally responsible for any personal actions taken by myself or above named minor participant.

I agree on behalf of myself, my child named herin, or our heirs, successors and assigns, to hold harmless and defend the Organizer its officers, directors and agents, and any other representatives associated with the event, from any and all actions, claims, demands, damages, costs, expenses, and all consequential damage arising from or in connection with mysef or child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the Organizer, its officers, directors and agents, or representatives associated with the event for reasonable attorney's fees and expenses arising therewith.

In case of Emergency I give the sponsor of Kirby Baptist Church permission to seek medical attention.