Please complete the following for all participants (1 form per participant) traveling and/or attending a North Christian Church event, activity, or trip. Please complete fully. This is a secure form, none of the information submitted will be shared beyond North Christian Church's staff and sponsors.
By signing below, I, the parent/guardian of the the participant listed above, agree to and understand the following:
- I agree that the above participant has permission to attend and participate in activities sponsored by North Christian Church, on and off church property.
- I understand that the risk of injury from any recreational and work activity is significant, including, but not limited to, the potential for permanent paralysis and death. While particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury does exist. I knowingly and freely assume all risks, both known and unknown, even if arising from negligence, and assume full responsibility for my student's participation and observing of such recreational and work activities.
- I do hereby release, forever discharge and covenant to hold harmless North Christian Church, its staff, employees, and sponsors from any and all liability, claims or demands for personal injury, sickness and death, as well as property damage and expenses, of any nature whatsoever while participating in any event sponsored by North Christian Church, including travel to and from any church activities. This agreement also applies to any and all activities on or off church property.
- I hereby authorize any staff member and/or adult sponsor who may be supervising or directing any activity sponsored by North Christian Church, to authorize medical treatment, including but not limited to emergency surgery. I agree to assume liability for any and all costs and expenses incurred, including medical and dental costs, and that North Christian Church, its staff, employees, and sponsors with them are not responsible.
- Parent(s) or persons who are designated as emergency contacts (as listed above) will be notified if my student becomes ill or injured. I agree to come in person or to direct the emergency contact to collect my student upon notification. Further, if any staff, employee, or sponsor deems it necessary for my student to return from any trip due to illness, injury, or misconduct, I agree that he/she will be sent home at my expense and without a refund.
- I assume full responsibility for any damage to property and/or equipment caused by my student and I understand I will be responsible for replacement of same.
- I give my permission for my student to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by North Christian Church.
- I give authority and permission to North Christian Church, its staff, employees, and sponsors to inspect my student’s belongings.
- I understand that North Christian Church sponsored activities provides a place where students can seek counsel and advice from adult leaders, staff, counselors, and others. I hereby consent to my student receiving spiritual and emotional counsel.
I give my permission to North Christian Church to take photographs and/or video of my child under 18 in connection with any Norh Christian Church sanctioned event or activity, and authorize North Christian Church to use such photographs for any lawful purpose, including publicity, illustration, advertising, and web content relating to any North Christian Church sanctioned event or activity.
