BUUF General Child Care/Youth Care/Activity Waiver and Authorization for Medical Treatment: I hereby represent that I am the parent/Guardian of the child(ren) enrollment via this application. I am aware that the Boone Unitarian Universalist Fellowship (BUUF) offers Religious Education classes and activities to children and also offers childcare during worship services. I am also aware that activities for children are occasionally offered at the fellowship facility before and/or after the regularly scheduled service. I understand that BUUF is not a State Licensed Child Care Center, but offers these programs as a service to parents and as a guide to children in an understanding of UU principles. I hereby authorize and grant permission for the child to attend the Religious Education Program and/or childcare offered by the Fellowship at its facility. I agree and hereby do release, indemnify and hold harmless BUUF and/or any and all supervisors, teachers, leaders, and employees from and for any and all liability which may arise for damages, loss or injuries, either to person or property, which the child may sustain while engaging in such programs, except as to such injuries or damages arising from the intentional conduct or the sole negligence of BUUF and/or its supervisors, teachers, leaders, or employees. I further agree to assume responsibility for any liability, which may arise for damages, loss or injuries, which may be caused or contributed to by the child to the person or property of others. Should any injury occur, I grant permission for my child to receive treatment from an appropriate health care provider to be selected by the adult supervisor, teacher, leader or employee when in such person’s opinion, the need for such treatment is immediate, and when efforts to contact me are unsuccessful. I also agree to pay and be responsible for all medical, hospital, or other expenses, which may be incurred as a result of such treatment. *
Select "Yes" below to indicate your agreement to and acceptance of the terms and conditions above. This is REQUIRED to participate in BUUF Child & Youth RE programming.
