Medical Release Information
Open Door provides secondary insurance coverage. If you have medical insurance, your carrier will be billed for any medical charges in the case of illness or injury.
CONSENT FOR EMERGENCY MEDICAL TREATMENT and RELEASE OF LIABILITY
In case of an emergency, I understand that every effort will be made to contact me. If I cannot be reached, I hereby give the representatives of Open Door Baptist Church permission to act on my behalf to hospitalize, secure proper treatment and/or order an injection, anesthesia or surgery for my child in the event that such treatment is deemed necessary by the physician, dentist, paramedic, EMT or other skilled medical practitioner selected by the representatives of Open Door Baptist Church. I give permission to those administering emergency treatment to do so, using those measures necessary. My signature on this liability release constitutes my agreement not to hold Open Door Baptist Church, its agents, representatives or employees liable for damages, losses or injuries to person or property. I understand that I am signing for the minor listed on this form, and I further understand that my signing this liability release constitutes a full and complete release from liability insofar as Open Door Baptist Church is concerned. My signature, as the parent or guardian of this minor, is also consent for emergency treatment.
CONSENT TO PARTICIPATE
In planning and preparing for events, Open Door Baptist Church has carefully and methodically planned for a safe and successful event. However, no activity or event is without the possibility of unforeseen hazards. Certain activities have the inherent possibility for risk. Therefore, we want to alert parents, guardians and other individuals to these risks. By signing this consent the parent, guardian and/or individual agrees to assume and accept all risk and hazards associated with these events. These include but are not limited to, transportation, housing, and related sports, activities, health and safety hazards associated with these events. The parent, guardian and/or individual also agrees not to hold Open Door and/or its agents, representatives or employees liable for damages, losses or injuries to the person named on this release of liability and consent to participate.
I understand that participation in the events of Open Door Baptist Church is a privilege and not a right. The Open Door staff will carefully explain all rules and expectations to all participants. In the event that a student does not follow these rules and guidelines the Open Door staff will be empowered, by the signing of this document, to take appropriate action to maintain the standards established by the leadership. This action could include sending a student home at the expense of the student and/or their family. By signing this form the participant is agreeing to cooperation with the leadership team and the parent or guardian is assuming any liability for any disciplinary action.
PHOTO AND VIDEO RELEASE
I grant permission to Open Door Baptist Church, its ministries, and staff to use photographs and/or video taken of my child during events for use in their future publications and website. I understand that no personal information about my child will be published in any format. I hereby waive any right to inspect and or approve the finished photographs or video or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photographs and/or video. I hereby agree to release, defend, and hold harmless Open Door Baptist Church, its ministries, and staff, from and against any claims, damages, or liabilities arising from or related to the use of the photographs and/or video, including, but not limited to any misuse, distortion, blurring, alteration, optical illusion, or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.