Long Hollow Baptist Church
3031 Long Hollow Pike, Hendersonville, TN 37075

Medical and Liability Waiver

Participant Waiver

• I am the participant or parent and/or legal guardian of the participant and hereby acknowledge that he/she is under my care, custody, and control.

• In the event an emergency necessitating medical/surgical attention, I expressly grant my permission and consent to the Long Hollow Baptist Church staff, its representatives, sponsors, or any attending physician, to make such decisions and to perform such medical treatments and/or surgery upon the participant listed above which may, in their sole discretion, be necessary and proper under the circumstances.

• I, the undersigned participant or parent/legal guardian of above-mentioned participant, do release, acquit, discharge, and covenant to indemnify and hold harmless Long Hollow Baptist Church or its representatives, the sponsors, or any attending physician, from any and all actions, causes of actions, related risks and dangers, including negligence, damages, liabilities arising out of the treatment of any sickness or accident.

• I assume financial responsibility for any damages this participant may cause, and for providing transportation home should it become necessary for disciplinary reasons.

• I give my permission to the Long Hollow Baptist Church staff, its representatives, the adult sponsors and/or chaperones to search the participant's personal belongings, including but not limited to all luggage, purses, and backpacks, if deemed necessary for security reasons.

• I assume all financial responsibility for any medical treatment and for all transportation costs needed for the participant to receive medical treatment, including ambulance or air transportation if deemed necessary by Long Hollow Baptist Church, its representatives, or sponsors.

SLU 201 - 2026