The undersigned represents to THE EVANGELICAL CHINESE CHURCH OF SEATTLE (herein referred to as ECC), a religious nonprofit society, that he/she is the natural parent or the legal guardian of the above named child or the above mentioned named is of legal age (18 years old); and the undersigned does hereby consent to such minor taking part in noted activity, with full understanding in so far as such activity will involve missions and sporting activity and mingling with other individuals and groups, that there is always the risk of injury, illness, loss and possible consequent expense for medical, diagnostic and curative treatment, and incidental loss and expense, and the undersigned does for himself/herself and for and on behalf of such minor assume the risk of such and expense, and does hereby wholly release ECC from any responsibility or liability; and waives any claims or causes of action against it or its agents that might arise on account and loss, injury or expense occasioned by any sort of accident or any other circumstance involving such child/person, and agrees to hold harmless ECC in event any claim should arise; and the undersigned agrees to abide by the rules and regulations, supervision, and discipline set and applied by ECC and its agents to arrange for and consent to x-ray examinations, anesthetic, dental, medical or surgical diagnosis, medical or surgical diagnosis, and treatment, and hold harmless ECC from any such. The undersigned will furnish payment or insurance for any such payment, at his or her own expense.