12060 Lebanon Rd., Cincinnati, Oh 45241 513-563-6648

General Release
By participating in the activities of Grace Bible Presbyterian Church, I acknowledge that there may be inherent or other risks involved.  I/We agree to release Grace Bible Presbyterian Church and its agents from all liability of damage and injury to myself or to the participant indicated below for whom I am the Parent/Legal guardian.  I also accept full liability for any loss or damage for all equipment or property of Grace Bible Presbyterian Church while it is in my control or possession.

Transportation Release
I/We the undersigned do hereby give permission to Grace Bible Presbyterian Church and its agents and representatives to transport the participant named below to and from any program, ministry, or activity sponsored by Grace Bible Presbyterian Church and I/We hereby release Grace Bible Presbyterian Church, its agents and representatives from any and all liability that may otherwise occur during the course of transporting the below named person to or from a program, ministry or activity.

I certify that I am the parent of legal guardian of the child named above. I further certify that the above information is accurate to the best of my knowledge. I, the undersigned, have read and understand the above medical consent and release from liability for my child through December of 2024.