I do hereby release, acquit, hold harmless, and forever discharge Miller Heights Baptist Church, its agents, servants, sponsors, employees and all persons natural or corporation privy with them, from any and all claims or causes of action, including but not limited to actions, suits, and/or claims for bodily injuries, death or property damage, while participating in their activities, including travel to and from any church activities. This agreement also applies to any and all activities on or off Miller Heights Baptist Church's property.

In the case of injury or sickness, I hereby authorize notification of a physician and give permission to said physician or designated medical professionals to administer emergency medical assistance if I cannot be reached. The undersigned agrees to assume liability for any and all costs and expenses incurred including medical and dental costs in the event of an injury or claim arises. The undersigned further represents by the signing of this agreement that the subject participant has adequate health, disability and life insurance and further acknowledges that any church or venue involved does not provide health, disability or life insurance for the subject participant. I understand that if my child does not have insurance that I as their parent/guardian will assume full and complete responsibility for all medical expenses incurred by my child which arise during the event. I also authorize Miller Heights Baptist Church personnel to transport my child at their discretion in the event of an emergency. I certify to my knowledge, that my child has not been exposed to any contagious disease within the last 30 days.

I give permission for my child to ride in MHBC vehicles to and from church activities. I understand that due to the Texas traffic laws, the minimum age to ride the church vehicles is five years old and that if my child is less than five, he/she will not be allowed to ride in church vehicles.

If for any reason legal action is taken against Miller Heights Baptist Church, by the undersigned participant, parents, or guardian, the undersigned agrees to assume any and all legal costs and expenses incurred by Miller Heights Baptist Church in the event that it successfully defends such claim, action, or lawsuit.

I understand that if my child’s conduct becomes uncontrollable or if my child breaks any of the rules he/she will be sent home at my expense. I assume full responsibility for any damage to property and/or equipment caused by my child and I understand I will be responsible for replacement of same.

Photos or video taken of my child during any event may be used to promote and /or report on the event in church advertising, publication, or media.

Furthermore, I recognize that Miller Heights Baptist Church will teach my child in accordance with their statement of faith.