Student Release and Hold Harmless Agreement/Image Waiver

I, the parent or guardian listed below, by this instrument, do hereby release, acquit, hold harmless and forever discharge First Baptist Church Longview its agents, servants, and employees, and all persons, natural or corporate, in privity with them or any of them, from any and all claims or causes of action of any kind whatsoever, including but not limited to actions, suits and/or claims for any bodily injuries death or property damage which may be sustained by the child named below while participating in any activity, or activities, including travel to and from such activities and any negligence or lack of care due or claimed to be due to the conduct of any agent, servant, or employee of First Baptist Church Longview. By signing this agreement, I give my permission for child named below TO RECEIVE MEDICAL ATTENTION IN THE EVENT OF AN EMERGENCY. It is my responsibility to provide current and correct insurance information to the Student Ministry offices and my responsibility to update such information should it change within the year.

CONSENT AND WAIVER REGARDING THE USE OF PHOTOGRAPHS AND VIDEO
I hereby allow photographs and video of my child’s participation in church events to be published via print, video, or website which are affiliated with First Baptist Church Longview. I understand that publication may be accomplished electronically via the Internet, copying my child’s photographs and video there from, and subsequently using, altering, or republishing it without my consent. I waive any claim for damages against First Baptist Church Longview from the un-consented-to-use, alteration or republication of my child’s photographs and video by third parties accessing the Internet or obtaining copies of the print or video material.