Do you grant Light of Christ Lutheran Church the right to take photographs in connection with this trip? Do you authorize Light of Christ Lutheran Church to use such photographs for any lawful purpose, including, for example, appearing in print or online promoting Light of Christ's activities, promotional brochures, worship presentations, or Light of Christ's Facebook page? I further understand that if I give my permission, my child's name will not be used to identify my child. My permission will be kept on file in the church office (yearly), and if I would like to withdraw my permission, I may do so by contacting the church office.

I/we hereby release Light of Christ Lutheran Church, its employees, agents and volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury (including death) that may be sustained by my child or myself (name listed in this form) while participating in this trip and/or traveling to and from an event at Light of Christ.

I/we understand that personal injury or illness can and may occur to my child while in attendance at church sponsored events and I hereby authorize a representative of Light of Christ Lutheran Church to seek and consent to emergency medical treatment, dental care, surgery or hospitalization for my child as needed during the period of my/our absence; and I further agree to be liable for and to pay all costs incurred in connection with such medical/dental attention. My signature below demonstrates my consent/agreement to the above (for my child or for myself, if I am participating as an adult):