By submitting this form, as a parent or legal guardian of a student involved in the ministry of Leroy Community Chapel, I authorize and give permission for my student(s) to participate in any activity sponsored by LCC. I furthermore allow images of my student(s) to be used in any publications of LCC. I acknowledge that the above health information is correct and the above named student(s) has my permission to engage in all activities unless otherwise stated. In the event of an emergency and I cannot be reached, I give permission for any qualified and licensed medical doctor or other appropriate medical professional, as selected by a ministry leader, in the event of a medical emergency to administer treatment as the attending medical professional deems necessary in the event of any life endangerment, partial or permanent physical impairment, or other unforeseen medical emergency. I understand that neither LCC nor any of its agents are responsible for any injury sustained by my student(s). I accept total responsibility for any medical expenses that may occur in the event of an injury or medical emergency. I acknowledge that I will receive ministry updates at my provided cell phone number(s) and email addresses and can unsubscribe from these messages at any time.