I accept responsibility for providing FYRE with any prescription medications that my child may need while they participate in any FYRE functions. I understand that I must hand such medications directly to a FYRE leader along with detailed instructions as to when and how the medication is to be administered.

The parent/guardian of the youth listed on this form hereby gives consent for their child to participate in FYRE activities, events, outings, programs, and services. Both the parent and child understand that all youth members are expected to follow the directions of the youth leader(s). The FYRE youth leaders assume responsibility for leading at the activity and, if necessary, may require a youth group member to leave the activity due to inappropriate conduct or disobedience. In such an instance, the parent/guardian will assume responsibility for, and costs of, returning the youth group member home.

As the legal parent/guardian of the youth listed above, I agree to hold blameless Crosspoint Church, its employees, and any agents, from any and every claim arising, or which may be asserted by me or any member of my family by reason of participating in any activities associated with Crosspoint Church and FYRE.

Further, I do authorize the minister or sponsor of this activity, in the event that I cannot be contacted by phone, to give consent to a physician and/or hospital for emergency medical or surgical treatment while participating in the activity. It is understood that I will assume any financial responsibility for any expense that may be incurred for said emergency treatment.