Please Note: Our church insurance is secondary insurance. If you have medical insurance, your carrier will be billed for medical charges in the case of illness or injury while your son or daughter is on a church-related activity.
The Rising is a ministry of the First Baptist Church of Prineville, OR. Every activity of The Rising is carefully planned and adequately supervised by mature adults. However, even with the best of planning and precautions, unforeseen events can occur. By signing this form, you, the parent or guardian of the student, agrees to assume and accept all risks and hazards inherent in these activities. You also agree not to hold First Baptist Church of Prineville along with any of its employees or volunteers liable for damages, losses, or injuries to the person or property undersigned. You understand that you are signing for the minor listed on this form and the signature is for both a medical and liability release.
"In the event / cannot be reached in an emergency during the dates specified on this form, / hereby give my permission to the physician or dentist selected by the church leadership to hospitalize, to secure proper treatment, and/or order an injection, anesthesia, or surgery for the above-named student as deemed necessary."
This authorization shall remain in effect through December 31, 2024.