**A photo copy of insurance card and an updated medical release form must be on file with Five Points Baptist Church.

Permission:
My child has permission to attend Stength To Stand Conference on December 28-30 in Pigeon Forge, TN.  Those who choose to bend, test or break rules may lose certain privileges or be sent home at their own expense.  I also understand that as a participant, I/my child may be photoghraphed or videotaped during normal event activities and photos/videos may be used in promotional materials.

Release: My permission is granted for the minister, any camp or event staffer, or adult present or in charge of First Aid, to obtain necessary medical attention in case of sickness or injury to me/my child.  In addition, I give any adult sponsor permission to sign as guardian if any serious medical emergency occurs.  If no adult sponsor is available, any medical professional shall have my permission to adminster medical attention that this attendee needs.  I hereby release, remise, and forever discharge Five Points Baptist Church and all sponsors from any and all claims, demands, actions, or cause of action-past, present or future-arising out of any damage or injury while particpating in this event.  (Participants in school or under the age of 18 require parent/legal guardian's signature)

*By entering my name in the box above, I am providing my digital signature on this form.

Total cost: $230
Deposit: $100