YOUTH waiver

Active Youth is for students in 6th-8th grade and 9-12th grade. We meet up Sunday mornings at 11:00am.

Info About Your Student(s)

Click "+ Add child" for each student you want to register

Legal Stuff

I consent to allow any of my children listed above to participate in any activity or transportation sponsored by Active Church (“Church”). In consideration of the Church allowing me or any of my children listed above to attend any activity, I execute the following release.

I hereby give my permission for all the children listed above to ride the van, shuttle, bus or other vehicles used for Church functions.

In the event of an emergency where medical treatment is necessary, I authorize the Church to obtain the services of a licensed physician and/or certified paramedic for me and/or any of my children listed below. I agree that any such expense will be my obligation. Please attempt to notify me immediately concerning any such emergency.

I, individually, or in my capacity as a parent or legal guardian, expresses a full and complete release of any liability and indemnification, past or future, which may be claimed against the Church, and its agents, trustees, officers, employees, members, attendees, representatives, any volunteers and specifically including, but not limited to, all claims and demands of whatever nature, actions, damages, costs, loss of services, expenses and compensation on account of or in any way growing out of personal injuries, illnesses, and/or property damage having already resulted or to result at any time in the future, whether or not contemplated at the present time or whether or not they arise following the execution of this release. For the consideration stated above, I further agree that in the event that my child or I should make any claim against the Church for damages arising out of the above named activity, we will personally indemnify, defend, and hold harmless the Church, and its agents, trustees, officers, employees, members, attendees, representatives, and any volunteers against any and all loss and damaged occasioned thereby, including attorney’s fees.

By signing I am stating that I am the custodial parent or legal guardian of the children listed above, and have the sole and exclusive right and authority to enter into this Transportation Permission & Release of Liability on my child’s behalf and to grant these rights.

Date

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