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    44 - PG 41

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    The document is a permission and liability waiver form for a minor to participate in church events. It states that the parent consents to their child's participation, releases the church from liability for any injuries, and consents to medical treatment if needed. It further acknowledges the parent's responsibility for any medical costs not covered by insurance and affirms the insurance information provided is current. The parent also agrees to terms regarding use of photos and conduct policies for students.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    44 - PG 41

    Uploaded by

    api-235687879
    27 views1 page
    The document is a permission and liability waiver form for a minor to participate in church events. It states that the parent consents to their child's participation, releases the church from liability for any injuries, and consents to medical treatment if needed. It further acknowledges the parent's responsibility for any medical costs not covered by insurance and affirms the insurance information provided is current. The parent also agrees to terms regarding use of photos and conduct policies for students.

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    44 - pg 41

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    The document is a permission and liability waiver form for a minor to participate in church events. It states that the parent consents to their child's participation, releases the church from liability for any injuries, and consents to medical treatment if needed. It further acknowledges the parent's responsibility for any medical costs not covered by insurance and affirms the insurance information provided is current. The parent also agrees to terms regarding use of photos and conduct policies for students.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    27 views1 page

    44 - PG 41

    Uploaded by

    api-235687879
    The document is a permission and liability waiver form for a minor to participate in church events. It states that the parent consents to their child's participation, releases the church from liability for any injuries, and consents to medical treatment if needed. It further acknowledges the parent's responsibility for any medical costs not covered by insurance and affirms the insurance information provided is current. The parent also agrees to terms regarding use of photos and conduct policies for students.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Page41

    I/We the undersigned have legal custody of the student named above, a minor, and have given our
    consent for him/her to attend events being organized by the church. I/We understand that there are
    inherent risks involved in any ministry or athletic event, and I/we hereby release the church, its
    pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or
    damage to person or property that may occur during the course of my/our child's involvement. In
    the event that he/she is injured and requires the attention of a doctor, I/we consent to any
    reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment
    is required from a physician and/or hospital personnel designated by the church, I/we agree to hold
    such person free and harmless of any claims, demands, or suits for damages arising from the giving
    of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any
    medical care should the cost of that medical care not be reimbursed by the health insurance
    provider. Further, I/we affirm that the health insurance information provided above is accurate at
    this date and will, to the best of my/our knowledge, still be in force for the student named above.
    Parent/guardian Signature: _____________________________________ Date: _______________

    Q Check here to give Streetsboro UMC staff permission to use social media or email/text this
    child/youth regarding program activities.

    Occasionally, Streetsboro UMC uses photographs/videos of children/youth in publicity such as


    newspapers, newsletters, brochures, etc. and on the church websites. No last names will be used on
    the internet. Please check one of the options below and sign underneath:

    __ I give permission for Streetsboro UMC to use my child's picture/video in public materials.

    __ Please do not include my child's picture/video in any publicity.

    Parent/guardian Signature: ______________________________________ Date:

    For your information, we expect each student to conform to these rules of conduct
    No possession or use of alcohol, drugs, or tobacco No
    fighting, weapons, fireworks, lighters, or explosives No
    offensive or immodest clothing Respect property
    Respect one another, staff, and adult leaders
    Respect and comply with event schedules
    Staying with the group is expected Respect and
    participate in planned programs.
    Cell phones must stay OFF and OUT OF SIGHT during all youth functions. Students who fail
    to comply with these expectations may be sent home at their parents' expense.

    /, the student, have read the rules of conduct, the above evaluation of my health, and permission to
    participate in youth group activities. I agree to abide by the stated personal limitations and code of
    conduct.

    Student signature: __________________________________________ Date: __________________

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