I give consent for my student (named above) to attend any Student Ministry event or program being sponsored by Glen Ellyn Bible Church between September 1, 2016 and August 31, 2017 including but not limited to the following: * Winter Retreat * Six Flags Great America * Raging Waves * Michigan Dunes * Kane County Cougars Game * Chicago Day* Paint Ball* Small Group Meetings/Outings* Youth Conferences* Summer Camp* Mission Trips* Small Group Activities* Feed My Starving Children In the event that he/she is injured while under the care of Glen Ellyn Bible Church and its representatives, and requires medical attention, I hereby consent to and will assume responsibility for any reasonable medical treatment as deemed necessary by the attending, licensed physician. I further agree to hold the attending licensed physician, medical facility, Glen Ellyn Bible Church and its volunteers free and harmless from any claims, demands, and/or suits arising from authorization and provision of such medical treatment. I understand the nature of the events/programs and do hereby release Glen Ellyn Bible Church and its representatives from any liability due to accident or injury by my child.