I understand that in the event medical intervention is needed, every attempt will be made to contact the persons listed on this form.  In the event I cannot be reached in an emergency, I hereby give permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or to order an injection, anesthesia, or surgery for my child as deemed necessary. I understand that my insurance coverage for my child will be used as primary coverage in the event medical intervention is needed.  Coverage by Fellowship Spring Hill through its accident policy will be used as a backup for what my family's insurance does not cover. I understand all reasonable safety precautions will be taken at all times by Fellowship Spring Hill and its agents.  I understand the possibility of unforeseen hazards and the inherent possibility of risk.  I agree not to hold Fellowship Spring Hill, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form.  I hereby give permission for my child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by Fellowship Spring Hill. PLEASE TYPE GUARDIAN NAME AS SIGNATURE.

I hereby grant permission for you to photograph, videotape, and/or to record my child's voice and sounds to use any or all such photographs, recordings, and reproductions thereof in and/or as a part of any motion picture, broadcast, published products, related advertising, displays, or in exhibition uses. I further grant the use of my name and in connection with my comments and opinions. I hereby grant and assign to Fellowship Spring Hill all non-exclusive rights of every type and nature and the unlimited distribution and other utilization of the pictures, images, tapes or products by any method or in any manner and in any and all media, including theatrical, non-theatrical, radio, videocassette, television, electronic usage, and printed products, and to advertise and publicize said products, in perpetuity, throughout the world. I hereby waive any right that I may have to inspect or approve the finished product and the advertising or other copy that may be used in connection herein.  The parties to this contact expressly agree that the laws of Ohio shall govern the validity, construction, interpretation, and effect of this contract. PLEASE TYPE GUARDIAN NAME AS SIGNATURE.