I grant permission for a photo of my child to be used by FBC only. I also give permission for photo(s) of my child to appear among other general club photos as long as there is no identifying information shown.
1) My submission of this form also serves to indicate my willingness to take full medical insurance responsibilities for my child, and to hereby release FBC, Robinson IL, its staff and sponsors, from responsibility and liability for any injury, illness, accidents, or loss of property that may occur on the way to or from and during, 2) In the event of an emergency that requires medical treatment for the above named child/children, I understand every effort will be made to contact me. However, if I/we cannot be reached, I give my permission to the FBC volunteers to secure the services of a licensed physician to provide the care necessary for my child's well being. I assume responsibility for all costs connected to any accident or treatment of my child.