I sign this release as my own free act. This legally binding agreement which I have read I do appoint North Florida Baptist College & the Immanuel Baptist Church of Jacksonville, FL to make emergency medical decisions for my child and to arrange medical services for my child, including admission to the hospital. If my child has medical conditions which may be relevant to a physician I the event of such an emergency, that has been listed above.
I understand and hereby agree to assume all financial obligations which are incurred in connection with such emergency medical decisions. I do hereby agree to hold Immanuel Baptist Church, North Florida Baptist College, and their agents and employees, harmless from any and all liability, actions, causes of actions, claims, expenses, damages, even injury resulting in death, which I now have or which may arise in the future in connection with such emergency medical decisions.
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Florida and that if my portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital.
I further state that I have carefully read the foregoing release and know the contents thereof, and understood.