Release of Liability

Known all persons by these present:

WHEREAS, To whom it may concern:

The undersigned does hereby give permission for the Participant whom I am the legal guardian or parent of, to attend and participate in activities sponsored by The Crossing.

I authorize an adult, in whose care the minor has been entrusted, to consent to any X-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital, or, in the event of an emergency, on-site at the location of the emergency. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.

Should it be necessary for my child to return home due to medical or other reasons, the undersigned shall assume all transportation costs. The undersigned does also hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by The Crossing.

I hereby release The Crossing from any responsibility other than normal supervision and care. In case of an accident, I will not hold The Crossing, or its staff members, management, officers, volunteers, or duly authorized sponsors liable. The undersigned, by attending in this and other activities with The Crossing voluntarily assumes all medical risks and agrees not to hold The Crossing; or any of its affiliates, directors, elders, officers, employees, agents, contractors, or volunteers liable for any illness or injury.

The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.

The undersigned does also hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by The Crossing.

I hereby release The Crossing from any responsibility other than normal supervision and care. In case of an accident, I will not hold The Crossing, or its staff members, management, officers or duly authorized sponsors liable.