AUTHORIZATION FOR MEDICAL TREATMENT & PARENT/GUARDIAN PERMISSION
In the event I cannot be reached, I authorize and direct any adult Northwest Field NYI employee or volunteer representing the Church of the Nazarene to make emergency medical decisions for the Student. I hereby authorize that emergency medical and/or surgical care may be provided for the Student at my expense. I also hereby release and discharge the Church of the Nazarene, Inc. and its affiliates, along with any other chaperoning adult employees or volunteers of Nazarene Youth International or the Northwest Field NYI, its agents, employees, officers, directors, affiliates, successors, assigns and all other from any and all claims, demands, expenses, personal injury, wrongful death, causes of action, lawsuits, damages, and liabilities of every kind and nature, whether known or unknown, in law or equity, that I or the Student ever had or may have, arising from or in any way related to the Student’s participation in any activities associated in any way with 2023 Northwest Field NYI Call Conference event ("Event"). I have full knowledge as to such activities and I have full knowledge of the probable risks involved. Except for those limitations named in this registration, I certify that the Student is healthy and fit to participate in all such activities.
Further, I acknowledge that NYI and/or its agents will be taking photographs and/or videos of the Event and that the Student may appear in those photographs and videos. I hereby give my permission to the Northwest Field NYI, NYI and/or Church of the Nazarene, Inc. to utilize event media in all forms and in all manners for marketing, promotion, and future event development. I also give my permission for the Student’s contact information to be shared with affiliated Nazarene higher education institutions. In addition, I acknowledge that this release form also includes travel dates to and from the event with the Student's sponsoring district and/or local church.