Permissions and Media Release
I give my permission for my child to take part in ALL ACTIVITIES OF CLUB KID-CONNECT SUMMER YOUTH ACADEMY EXECPT AS NOTED BELOW. In consideration of the opportunity for my child to participate and fully recognizing that such an undertaking involves an element of risk, we assume all risks and hazards incidental to such participation and do hereby release, absolve, indemnify, and agree to hold harmless United Community Cathedral and United Community Builders CDC, its agents, employees, and officers, leaders, organizers and sponsors and persons transporting our child to and/or from these activities. United Community Cathedral, United Community Builders CDC, nor any of said persons shall be held financially responsible for any injury, illness, or death incurred as a direct or indirect result of this activity.
I, (We), the undersigned, have read this release and understand all its terms and execute it voluntarily and with full knowledge of its significance and that the information on this form is true and accurate.
In the event of an emergency and I cannot be contacted, I hereby authorize the camp supervisor to call a ambulance service for the purpose of transporting my child to the proper medical facility and authorize that emergency treatment may be administered at my expense.