I, the undersigned parent give permission to the undersigned youth to attend the _________________ on ______________. I understand that while my child participates in any church sponsored activity, he/she is responsible to abide by the rules set forth by the church and its leaders. Any serious infraction of the rules will result in dismissal from the event, and I will be responsible to pay for all expenses incurred for returning my child home.

I assume financial responsibility for all medical expenses and for the use of an ambulance to transport my child to the nearest health care facility should such a need arise. I also hereby release The Church of Grace and Peace, its employees and ministry leaders from any liability the case of an unforeseen accident and/or sickness my child may suffer while participating in a church sponsored event.