Policy/Waiver descriptions:

MEDICAL
Authorization to consent to treatment of minor: I/We the undersigned, parent(s) or legal guardians(s) of the minor listed below do authorize any x-ray examination, anesthetic, dental, medical or surgical diagnosis or treatment by any state licensed physician or dentist and hospital service that may be rendered to said minor under the general, specific, or special consent of Pastor John Walls and/or any Fairfield Baptist Church sponsor, the temporary custodians of the minor during FBC events.  I/We further acknowledge that any activity carries risk of incident or accident resulting in injury or possible fatality and do hereby release liability of Fairfield Baptist Church, Cypress, Texas, its staff, sponsors, and/or contractors, in case of such an occurrence.  I/We acknowledge that it is assumed by Fairfield Baptist Church that all parents and/or legal guardians of the stated minor have signed this form and acknowledge sole responsibility for release.

MEDIA
I hereby grant full permission to Fairfield Baptist Church to use any photographs, videotapes, motion pictures, website images, recordings or any other record of this event.

CODE OF CONDUCT
To ensure that everyone has a great experience at the JESUS PIZZA, please read this Code of Conduct prior to signing the registration Form.  It is important that parents, guardians and kids realize that any behavior deemed by the the  staff to be inappropriate and/or unmanageable may result in any or all of the following:
• Meeting directly with a Counselor or Director to discuss behavior
• Not being allowed to participate in a certain activities
• A telephone call to parents/guardian to develop a behavior management plan
• Being dismissed from the program

I WILL...
• Stay with my group at all times.
• Follow the directions given to me by both my leader and other staff
• Let my leader know if another person is affecting me
• Put all litter in trashcans, pick up after myself, and not vandalize church property
• Have lots of FUN and a GREAT time!

I WILL NOT...
• Bring any candy or food with me

• Use foul language or gestures
• Fight (using words or hands), and I will ask my leader for assistance if I need help to resolve a problem
• Tease anyone and I will report teasing/bullying to my leaders or another staff member
• Bring any kind of weapon (pocket knife, soft-air gun, etc.) onto church property

Check the box on the registration page to sign off on the above Policy/Waiver for medical, media, and code of conduct.