acknowledge my understanding that participating in the Maranatha Baptist University (MBU) “Destination MBU Road Trip” weekend involves travel risks and physical activities (games, gym time, etc.), and I represent that I have received no restrictions on such activity from any physician or healthcare professional. I understand that these travel risks could include injuries sustained in an automobile accident, possibility of separation from the group, and stolen, lost, or damaged personal belongings. I understand that physical activities could involve strenuous exertions of strength, hard and sometimes uneven surfaces, occasional physical contact with others, andsustained physical activity which places stress on the cardiovascular system.
I understand that my participation in this event could involve inherent risks of personal injury and loss of property. These risks include but are not limited to: 1) minor injuries such as scratches, bruises, and sprains; 2) major injuries such as eye injury or loss of sight, broken bones, joint or back injuries, heart attacks, and concussions; and 3) catastrophic injuries including paralysis and death.and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

, and I hereby authorize the following: Maranatha Baptist University (MBU) may dispense over the-counter medications as per standard medical practice. In case of medical emergency when I cannot be reached by telephone, I hereby authorize the staff of MBU to secure appropriate medical treatment such as X-ray examination, anesthetic, injection, medical or surgical diagnosis or treatment, and hospital care necessitated by injury or illness, while the above-named child is at MBU, and I agree to cover the cost associated with this treatment. I agree to the release of any records necessary for referral, treatment, billing, or insurance. I hereby affirm that my child has no conditions that will limit participation in the full range of activities being planned, except those listed below.