VACATION BIBLE SCHOOL RELEASE FORMS
Audio/Video/Photography Release
New Hope Chapel 105 W. Main Street, Wingate, Indiana 47994
I, as a parent or legal guardian, hereby give my permission for the child listed above, a participant at New Hope Chapel Vacation Bible School (hereafter
referred to as NHCW VBS), to be recorded in any format i.e., audio and/or visual recordings and/or photographs taken by NHCW VBS
Staff or the New Hope Chapel (hereafter referred to as the Church) and their representatives. I expressly agree with allowing the use
of said audio and/or visual recordings and/or photographs to be shown or published in NHCW VBS and/or Church events, collateral
materials including but not limited to; postcards, newsletters, ads/articles, press releases, NHCW VBS/Church website or other
electronic Church communications. Our promise is to not publish any picture or release video with names attached without your
written consent.
I expressly release and discharge the NHCW VBS and/or the Church from all liability that may arise from the use of said audio and/or
video recordings and photographs in this manner. Further, I understand that the above-mentioned recordings/photographs are
confidential in accordance with Indiana Statues section 228.093. Accordingly, by my signature below, I expressly waive all privacy
rights which would otherwise have been accorded to the audio and/or video recordings and photographs under the laws of Indiana.
Medical & Liability Release
New Hope Chapel 105 W. Main Street, Wingate, Indiana 47994
In the event of sickness or some medical emergency, I request that my child receive any medical attention or treatment deemed necessary, therefore I give permission to any hospital, doctor, and/or
health care provider to transport, treat and/or admit my child for care. I understand that I am responsible for all expenses and charges
for the treatment and care of my child. If I am not present at the time of the emergency or cannot be contacted, my care has been
entrusted to the staff and designated ministry leadership of New Hope Chapel Church.
