Annual Children and Youth Permission Slip Form
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I understand that the GEMS, Cadets, and CityWide (collectively "Youth Group") are organizations of Sunnyside Christian Reformed Church.
As Parent, I hereby give my Permission for my Child(ren) to participate in the Youth Group events and all related activities during school year 2022-23.
I also, hereby give consent for my child(ren) to participate and attend off-campus events, e.g., day trips, which may occur throughout the year.
I also, hereby Release Sunnyside Christian Reformed Church and all adult leaders of the Organization and any other employees, servants and agents of Sunnyside Christian Reformed Church (“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.
I also, hereby grant SCRC Agents permission to photograph my child and use any photographic/video likeness of my child for ministry-related purposes, such as our ministry's website, social media, bulletin boards, and presentations.
I also, hereby allow SCRC Agents to store my child's contact information electronically. My child's leaders may use it to communicate with my child about activities via email, text messages, phone calls and/or social media.
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.
If you have any concerns or queries regarding this form please contact the church office through phone: 509.837.5371 or email: email@example.com