Functions and Activities
It is my understanding that participating in the programs and recreational and other activities of Brooks Evangelical Free Church is a privilege. Prior to my child/youth’s participation in such activities, I acknowledge that there are certain risks associated with the activities including, by way of example, physical injury due to activity related accidents, physical injury due to transportation related accidents, illness, or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.
Release of Liability
By signing this Permission/Waiver Form, I expressly warrant that the child/youth named above is capable of withstanding the physical demands of the activities discussed above. I further release and agree to hold harmless, defend and indemnify Brooks Evangelical Free Curch and its staff, board, elders, volunteers and agents from and against any and all claims for personal injury (including loss of life) and all other losses or damages, except those caused entirely by the gross negligence or intentional conduct of Brooks Evangelical Free Church arising from my or my child’s participation in its activities and programs.
First Aid and Emergency Medical Treatment
I recognize that there may be occasions where the child named above may be in need of first aid or medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of Brooks Evangelical Free Church to seek and secure any medical attention or treatment for the child named above, including hospitalization, if in the agent’s opinion such need arises. In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment. I give permission for attending physicians(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.
Special Events and Field Trips
I understand that the child/youth named above will be participating in various BeFree Youth activities from Sept 1, 2020 to Sept 1 2021. I understand that during this period my child/youth may take part in activities off church property such as: City wide events, Youth trips, Youth Conferneces, Missions Trips and other activities consistent with the purposes of the church. I also understand that I may be asked to sign Special Permission Slips in addition to this form. I give permission for my child to leave church property for BeFree Youth events and/or to ride in any vehicle designated by the approved adult leadership while attending and participating in activities sponsored by BeFree Youth.
On occasion, BeFree Youth takes photographs or makes an audio or video tape recording of children and/or adults involved in church activities. Such photographs or video records may be used by staff and participants to remember the activities or participants. In addition, such photographs and audio/visual recordings may be used in BeFree Youth publications, social media, or advertising materials to let others know about our ministry. I consent to the use of any such, audio or visual record of the child named above to be used, distributed, or displayed as agents of the church see fit. This consent includes but is not limited to: photographs, videotape, and audio recordings. Furthermore, I give permission for the child to be interviewed by the news media, or for such photographs and other audio or visual records to be used by the news media or by other participants on social media.
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the AHS and many other public health authorities still recommend practicing social distancing.I further acknowledge that BeFree Youth have put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.I further acknowledge that BeFree Youth cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, youth leaders, and other youth participants.I voluntarily seek to participate in BeFree Youth events and activities and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while participating BeFree Youth events and activities.I attest that I will not attend BeFree Youth if:* I am experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.* I have traveled internationally within the last 14 days.* I believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.* I have been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by AHS or local public health authorities.* I am following all AHS recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.I hereby release and agree to hold BeFree Youth and Brooks Evangelical Free Church harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the BeFree Youth, or that may otherwise arise in any way in connection with any BeFree Youth activities. I understand that this release discharges BeFree Youth and Brooks Evangelical Free Church from any liability or claim that I, my heirs, or any personal representatives may have against the BeFree Youth with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any activities related to BeFree Youth. This liability waiver and release extends to theBrooks Evangelica Free Church together with all staff, board, and elders.
I represent that I am the parent/guardian of the above child, who is under 18 years of age. I have read the above Permission/Waiver Form and am fully familiar with the contents thereof.
I give permission for the child named above to participate in the activities of BeFree Youth, including any special events/activities described above. In consideration for allowing the participation of the child in the activities of BeFree Youth, I hereby consent to the Permission/Waiver Form, including the Release of Liability above, on behalf of the child, and agree that this Permission/Waiver Form shall be binding upon me, my family, heirs, legal representatives, successors, and assigns.
I also understand that it is my responsibility to see that the information on this form is updated when there are any changes in my child’s/youth’s medical status, etc.
Young Person’s Agreement
I understand that BeFree Youth is a community where all youth are free to come as they are. It is a community for youth to encounter Christ and his underserved grace. And it is a community to engage in the Holy Spirit’s life transforming mission.
I understand that others will have different beliefs, backgrounds, and opinions than me, but I will respect them and show them grace and freedom in Christ.
I understand that by taking part in the BeFree Youth community, I commit to respecting and valuing myself and other people, their beliefs, bodies, emotions and property through how I speak and act. This includes but is not limited to treating the opposite gender with respect and decency, only being on my phone when necessary, taking care of church property, using my words to build up and not tear down, and respecting the leaders put in place at BeFree Youth.