Youth and Volunteer Medical Form Logo
  • Youth and Volunteer Medical Form

    Required for all youth trips
  • Participant Personal Information

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  • Participant Medical Information

  • Authorization and Participation Agreement

  • I acknowledge that participation in the activities of Cross Point Ministry involves
    risk to the participant (and to the participant’s parents or guardians, if the
    participant is a minor), and may result in various types of injury including, but not
    limited to, the following: sickness, exposure to infectious/communicable disease,
    bodily injury, death, emotional injury, personal injury, property damage, and
    financial damage.


    In consideration for the opportunity to participate in the activities that are offered
    by Cross Point Youth Ministry, the participant (or parent/guardian if the
    participant is a minor) acknowledges and accepts the risks of injury associated
    with participation in and transportation to and from activity. The participant (or
    parent/guardian) accepts personal financial responsibility for any injury or other
    loss sustained during the activity or during transportation to and from the
    activity, as well as for any medical treatment rendered to the participant that is
    authorized by the sponsor or its agents, employees, volunteers, or any other
    representatives (collectively referred to as the “activity sponsor”). Further, the
    participant (or parent/guardian) releases and promises to indemnify, defend, and
    hold harmless the activity sponsor for any injury arising directly or indirectly out
    of the described activity or transportation to and from the activity, whether such
    injury arises out of the negligence of the activity sponsor, the participant, or
    otherwise.


    If a dispute over this agreement or any claim for damages arise, the participant
    (or parent/guardian) agrees to resolve the matter through a mutually acceptable
    alternative dispute resolution process. If the participant (or parent/guardian) and
    the activity sponsor cannot agree upon such a process, the dispute will be
    submitted to a three-member arbitration panel for resolution in accordance with
    the rules of the American Arbitration Association.

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