I give instruction and permission for my child to take the above listed medication during Vacation Bible School. Also, I hereby authorize medical treatment by any licensed hospital at the discretion of Westwood Presbyterian Church for the above-named youth. I also hereby authorize the making of photographs, motion pictures, videotapes, recording, or other memorializing of Vacation Bible School and for my (or my child's) participation therein, and the publication or other use thereof, I waive any right to compensation therefore or any right that I otherwise might have to limit or control such making or use. I agree (or direct my child) to cooperate and conform to directions and instructions of personnel responsible for activities. I will indemnify and hold harmless Westwood Presbyterian Church (and the Presbytery of Southern Kansas) and its officers, agents, servants, or employees from any and all claims or causes of action by myself or by any other person or entity, and under no circumstances will present any claims against said organization and said persons for personal injury, property damage, wrongful death caused by any act of negligence by the event. Recourse for the payment of any hospital, medical, dental or related cost and expenses will be paid either by me or my accident, hospital or medical insurance, or any available benefit plan of mine.

In addition, I hereby consent that the above-named minor may walk to the Paxton's Blessing Box at Benton Elementary School with their Vacation Bible School class, supervised by their teacher, during the week of Vacation Bible School.