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I, the parent and/or legal guardian of the above-named minor do hereby appoint Anchor Baptist Church of Kingsville, Texas to act on my behalf in authorizing emergency medical, dental, surgical care and or hospitalization for this child in the event I cannot be reached. I agree to be financially responsible for all treatment. I agree to indemnify and hold harmless the Anchor Baptist Church of Kingsville, Tx against all claims, demands, suits and liability of whatever nature arising out of the injury to the child, and the relevant activity being undertaken. I give permission for my child to be picked up by the persons listed above. I give permission for videos and pictures of my child to be used in all Anchor Baptist Church publications.