Personal Consent and Permission Form
By signing below, you are granting permission for this application to be released by the Regional Youth & Discipleship director to those he deems necessary in processing your application. “I certify to the best of my knowledge and ability, the information provided in this Application Form is true, correct, and complete. I authorize investigation of all statements contained in this application, including the conducting of a national criminal background check. I release any and all parties from any and all liability for any damage that may result from furnishing such information to the Church of God.”
Acknowledgement of risk related to Covid-19
By entering onto any property owned or rented by the Midlands Region Church of God or participating in any Midlands Region Church of God programs or events, I, (on behalf of myself and my family members) acknowledge and agree with the following: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and is reported to be extremely contagious. The state of medical knowledge is, of course, ever-evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known cure for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death. Midlands Region Church of God cannot prevent me or my family members from becoming exposed to, contracting, or spreading COVID-19 while on any property of Midlands Region Church of God or when participating in Midlands Region Church of God programs or events. Therefore, by entering a Midlands Region Church of God facility or participating in one of its programs, I acknowledge that I may be exposing myself and my family members to and/or increasing my/our risk of contracting or spreading COVID-19. I expressly assume that risk, on behalf of myself and my family. I (on behalf of myself and my family members), hereby forever release and waive my right to bring suit against Midlands Region Church of God or any of its affiliates, officers, directors, employees or other representatives related to any of the foregoing.