I, hereby give permission for the above mentioned student to attend the above listed event with Immanuel Baptist Church Student Ministry. I understand that my own insurance will cover any accidental injury or illness involving my student and that I will be responsible for any expenses incurred. I release Immanuel Baptist Church, its agents, employees, and volunteers from any and all liability for accidents, injury or illness, which occur. I also authorize the sponsors of this trip to authorize emergency medical treatment for my student.
SIGNATURE OF PARENT/LEGAL GUARDIAN: