RELEASE FORM - BY TYPING MY NAME ABOVE, IT WILL STAND AS MY SIGNATURE AS THE PARENT/GUARDIAN. THIS SHOWS THAT I UNDERSTAND THAT RICHLAND FAITH ASSEMBLY OF GOD IN MODESTO ASSUMES NO RESPONSIBILITY FOR INJURIES OR ILLNESSES WHICH MY CHILD MAY SUSTAIN AS A RESULT OF PARTICIPATION IN VACATION BIBLE SCHOOL 2026. THIS DOES INCLUDE COVID-19 AND FLU. I AM AWARE THAT RICHLAND FAITH IS DOING ALL IT CAN TO SANITIZE TO HELP KEEP ALL THE STUDENTS SAFE. I ACKNOWLEDGE THAT I ASSUME THE RISK FOR ANY AND ALL INJURY AND ILLNESS WHICH MAY RESULT FROM PARTICIPATION IN VBS. IN CONSIDERATION OF THE PRIVILEGE OF PARTICIPATING IN VACATION BIBLE SCHOOL AT RICHLAND FAITH ASSEMBLY OF GOD, I HEREBY VOLUNTARILY RELEASE AND DISCHARGE RICHLAND FAITH ASSEMBLY OF GOD AND ITS AGENTS, SERVANTS, VOLUNTEERS, AND EMPLOYEES FROM ANY AND ALL CLAIMS FOR INJURY, ILLNESS, DEATH, LOSS, OR DAMAGE WHICH MAY BE SUFFERED AS A RESULT OF PARTICIPATION IN VBS. A PARENT/RESPONSIBLE PARTY MUST DISCUSS WITH THE VBS DIRECTOR ANY SPECIAL CONDITIONS OR CIRCUMSTANCES INVOLVING THEIR CHILD(REN) PRIOR TO PARTICIPATION. I HEREBY GIVE PERMISSION TO THE MEDICAL PERSONNEL SELECTED BY RICHLAND FAITH STAFF TO ORDER X-RAYS, ROUTINE TESTS, TREATMENTS, TO RELEASE ANY RECORDS NECESSARY FOR INSURANCE PURPOSES AND TO PROVIDE OR ARRANGE NECESSARY RELATED TRANSPORTATION FOR ME/MY CHILD IN THE EVENT OF A MEDICAL EMERGENCY. I UNDERSTAND THAT NO ACCIDENT/MEDICAL INSURANCE IS PROVIDED WITH THIS ACTIVITY. I ALSO AGREE TO KEEP MY CHILD/REN HOME IF ANY OF THEM SHOW ANY COVID RELATED SYMPTOMS.
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