Throughout the year students involved in the Youth Ministry have the opportunity to participate in numerous activities, events and trips, some of which are held on-site and some off-site. By signing this form and completing the consent for treatment on the back, you are giving permission for your child to participate in all activities, events and trips that are offered through Pleasant Hill Christian Church during the next year.
As the parent or legal guardian of my child, I acknowledge and understand that Pleasant Hill Christian Church may offer certain activities which carry with them a degree of risk and danger to my child. I consent to my child’s participation in these activities. I acknowledge and understand that this parental authorization, consent and release has the same force and effect regardless of whether the activities engaged in are free or if a fee is charged. Further, I personally assume, on my child’s behalf, all risk in connection with said activities for any harm, injury or damages that may befall my child as a result of my child’s participation in the activities, whether foreseen or unforeseen, and I still wish to allow my child to proceed with the activities.
In consideration of my child being allowed to participate in these activities and to use Pleasant Hill Christian Church’s equipment, facilities, or other designated locations for trips, on behalf of my child, I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Pleasant Hill Christian Church and any staff, leadership and/or volunteers from any and all claims, demands, or causes of action, which are in any way connected with my child’s participation in these activities.
I understand that it is my obligation to inform and update the church of any and all health considerations or medical conditions that would restrict my child’s participation in any and all activities, trips and events of Pleasant Hill Christian Church. Should the need for medical attention arise the church will attempt to contact me as soon as practicable under the circumstances.
The undersigned does also hereby give permission for our (my) youth to ride in any vehicle driven by an approved ADULT chaperone while attending and participating in youth ministry events sponsored by Pleasant Hill Christian Church. My child/youth and I understand that SEAT BELTS SHALL BE WORN AT ALL TIMES during
transportation and are responsible for compliance.
In cases of emergency I consent to the transportation, examination and treatment of my child by a licensed physician or other licensed health care professional. I give permission for a doctor or health care professional to provide any and all medical care they deem, in their professional opinion, to be necessary. I agree to pay for any and all medical expenses incurred as a result of the use of this consent.
I acknowledge by initialing this document, that if anyone is hurt or property is damaged during my child’s participation in these activities, I may be found by a court of law to have waived my right to maintain a lawsuit against the church on the basis of any claim from which I have released them herein. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions remain in full force and effect. I have fully informed myself to the contents of this parental authorization, consent and release by reading it before I initialed it.
