• Liability/Media Release

  •  -  -
    Pick a Date
  • I hereby give my permission for the herein listed student to participate in all activities offered by the ministries of The Ridge Assembly Park Hill.

    I give my permission for my students to ride with Pastors, leaders, volunteers, or other students in a church vehicle or in personal vehicles participating in church activities. 

    I understand all reasonable safety precautions will be taked at all time by The Ridge Assembly Park Hill and its agents during the evnts and activities. I undersatnd the possibility of unforseen hazards and know the inherent possibility of risk. I hereby release, discharge, and hold harmless the Ridge Assembly Park Hill, and all of its sub-ministries, partner ministries, staff, volunteers, and other representatives or affiliates from and against any and all claims arising out of or related to illness, physical injury, death, or damages that may resilt to the student while participating in The Ridge Assembly Park Hill events, including any physical injury or harm by neglect of paid or volunteer staff while performing his/her duties.

    In addition, I give my permission for free use of videotapes, photographs, audiotapes, or any other visual or audio reproduction in which my child may appear. I give my permission for The Ridge Assembly Park Hill to use such media in audio or visual promotion.

  • Clear
  •  -  -
    Pick a Date
  • Conduct Contract

  • General Rules:

    1. Students are expected to stay with the group at all times.

    2. Students are expected to obey the Pastors and staff/volunteers.

    3. Students are expected to have a good attitude and behave politely.

    4. Students are to abstain from all forms of PDA (public displays of affection).

    5. Students are expected to report ON TIME to all meetings.

    6. Students are to abstain from offesive language.

    7. Students are expected to properly represent the church and the Christian faith.

     

    Specific Rules:

    1. One guy and one girl are NEVER, under ANY CIRCUMSTANCES to be alone.

    2. Fighting is absolutely prohibited. 

    3. Drugs/Alcohol are absolutely prohibited. 

    4. Tobacco products are absolutely prohibited for students under 18 years old.

     

    Consequences:

    1. A breach of generic rules and common courtesies will result in paid or volunteer staff administering punishments as necessary.

    2. A breach of a Specific Rule will result in IMMEDIATE DISMISSAL. 

    3. Continued breaches of general rules will result in DISMISSAL.

     

    Agreement:

    I hereby agree that, in the event my child is dismissed from an event as a result of disciplinary action, I will pay the transportation fare associated with my student's immediate dismissal or will presonally retrieve the students from the group within a reasonable time period. I understand that no financial refunds will be given for early dismissal.

    Furthermore, I agree to be held financially liable for any damage to property inflicted by my student.

  • Clear
  •  -  -
    Pick a Date
  • Medical Release

  • I, the undersigned, parent or legal guardians of the participant, a minor, hereby authorize the director or other responsible staff acting on behalf of The Ridge Assembly Park Hill, to act as my Agent, to conset to medical, surgical or dental examination and/or treatment. Furthermore, I give my permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or to order an injection, anesthesia, or surgery for my child as deemed necessary. In case of emergency, I hereby authorize treatment, and/or care at any hospital. If there is an emergency and I cannot be reached, please contact the emergency contact(s) listed below. 

  • Clear
  •  -  -
    Pick a Date
  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free! Create your own Jotform