I/We, the parents or guardians named above, in the event of our/my absence, authorize one of the
Canadian National Baptist Convention (CNBC) staff or volunteer staff to sign a consent for medical
treatment, and to authorize any physician or hospital to provide medical assessment, treatment,
or procedures for the participant named above.
We, named above, undertake and agree to indemnify and hold blameless the CNBC Staff or volunteer staff from
and against any loss, damage or injury suffered by the participant as a result of being part of the
activities of the CNBC Children/Student Ministries of the Canadian National Baptist Convention of Cochrane, Alberta.
We also give consent to CNBC to use pictures and/or video of this student or child, if taken while participating
in these group activities, for promotional purposes. We understand that anything inappropriate will not be used
as a CNBC promotion.