IMPORTANT: If a medical emergency should arise while the above named is participating in any Eagle Heights Church activity, and I cannot be contacted, I hereby give permission to any sponsor of that activity to select a physician, hospital and/or clinic for his or her care. I also give the physician, hospital and/or clinic, as selected by said sponsor, my permission to hospitalize, treat and order injections to meet the needs of the above named. I will assume responsibility for any and all bills arising from said treatment(s).
In consideration of the permission extended to the above named to participate in the activities of Eagle Heights Church, I hereby release and hold harmless all employees, staff members and sponsors of Eagle Heights Church of and from any and all manner of action and causes of actions, judgments, executions, debts, claims and demands of every kind and nature whatsoever which against them I have had or now have of which I or my heirs, executors or administrators have now or may hereafter have by reason of the above named participation in Eagle Heights Church activities, as well as any other operations incident thereto. By signing today, I declare that the information provided is accurate, and the terms of the herein release have been completely read, and are fully understood and voluntarily accepted.
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