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Financial Relief Request
for Non-Members 
Member Building Use and
Policy Form
Non-Member Building Use
and Policy Form
Reimbursement Form
Annual Youth Permission Slip Form
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I understand that the GEMS, Cadets, Junior High Youth Group, High School Youth Group are organizations of Sunnyside Christian Reformed Church.  


As Parent, I hereby give my Permission for my Child(ren) to participate in the events and all related activities during 2021. I also, hereby give Authority to the adult leaders of the Organization and any other employees, servants and agents of Sunnyside Christian Reformed Church (“SCRC Agents”) to consent, in my place and with the same authority as I have, to any medical treatment that may be required by Child in connection with the event.

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Sunnyside CRC youth groups offer several off-campus events throughout the year. Do you give your child(ren) permission to attend off-campus events?

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In consideration of the services performed by SCRC Agents, I hereby Release Sunnyside Christian Reformed Church and all SCRC Agents from any and all liability for any damage, injury or loss arising out of actions taken in good faith in connection with the Event, regardless of whether caused by the negligence of any party hereby released.

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CONSENT FOR EMERGENCY TREATMENT: In case of emergency, I hereby give permission to the physician selected by Sunnyside Christian Reformed Church leaders to hospitalize, secure proper treatment for and order injection, anesthesia, or surgery, for my child/ward as named above. In the event medical treatment is necessary, as stated, I give permission for my child to participate in all activities. If any changes occur, I will contact Sunnyside Christian Reformed Church at the above address. I, therefore, agree to assume as an explicit condition of my child’s/ward’s participation, any and all risks. I agree to hold harmless Sunnyside Christian Reformed Church, its personnel, or other individual transporting my child from any and all liability, claims, damages, and expenses that may arise due to participation of my child/ward in any activities of the above organization. I understand it is my responsibility to inform Sunnyside Christian Reformed Church leaders of my child’s/ward’s change in any medical history that may cause additional and/or new injury when participating in any and all events.

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If you have any concerns or queries regarding this form please contact the church office through phone: 509.837.5371 or email:

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