I give permission for a member on staff at Carterville Christian Church (C3) to provide over the counter medications to the named participant above per necessity only, unless otherwise previously stated in allergies or medical alerts.

I understand the inherent risks that are involved in participating in activities, events and programs with Carterville Christian Church (C3), and hereby release C3, its staff, employees and these activities, events and programs. Further, I do authorize the minister, adult, leader, or sponsor of the activity, event, or program, to give consent to a physician and or hospital for emergency medical or surgical treatment. It is understood that I will assume any financial responsibility for any expense that may be incurred for said emergency treatment. Further, I authorize C3 to use photographs and video footage of myself as a participant.