Christian School

MEDICAL CONSENT AND LIABILITY RELEASE

TVBC Basketball Skills Camp – June 16-18, 2021

TREASURE VALLEY BAPTIST SCHOOL

A MINISTRY OF TREASURE VALLEY BAPTIST CHURCH, INC.

Child Information

Name

Age

Date of Birth

Address

All medical conditions to be aware of

Primary Contact

Name

Relationship

Phone

Address if different

Email

Emergency Contact

Name

Relationship

Phone

Agreement

I hereby give consent to Treasure Valley Baptist Church (“TVBC”), and its agents, volunteers, and employees, etc., to act on my behalf in obtaining any medical treatment or care of any nature in case of emergency and I authorize any medical person or entity to rely on this authorization. I agree to be solely liable and responsible for the costs of such treatment or care. I release TVBC, and its agents, volunteers, and employees, etc., from any liability of any nature whatsoever relating to the above activities. This release is full, complete, and absolute, except to the
extent limited by Idaho law. I understand that this release and authorization is an absolute prerequisite for my child to participate in the 1st thru 8th Grade TVBC Basketball Skills Camp in the TVBC gymnasium June 16-18, 2021.

THIS IS A LEGAL FORM. BE SURE TO READ AND UNDERSTAND THIS FORM BEFORE SIGNING IT.

Parent/Guardian Signature