I, the undersigned, state I am the parent/guardian of minor student(s) listed below. I hereby request and give my consent for my child to participate in the SHABACH! Christian Academy Homeschool Program during the 2023-2024 academic year.
I hereby authorize and give my consent for my child to be transported to off-site related activities (field trips, events, etc.) in transportation provided by SHABACH! Christian Academy Homeschool.
Consent for Emergency Medical Treatment
In the event of an emergency, I hereby authorize the administration and staff of SHABACH! Christian Academy Homeschool Program to take whatever steps deemed necessary to obtain emergency medical care for my child.
This authorization includes:
1. Consent to transport by emergency medical vehicle to the nearest emergency medical facility.
2. Consent to any emergency medical treatment deemed necessary in the event of an emergency.
3. Consent for surgery and anesthesia in the event of life-threatening situations, as the attending physicians may deem necessary.
4. Consent for physicians, nurses, technicians, and other qualified medical personnel to administer medical and surgical treatment in emergency situations
The release of SHABACH! Ministries, Inc., its successors, assigns, representatives, employees, and agents from any financial liability incurred due to emergency treatment.
I hereby state that my child is participating in the SHABACH! Christian Academy Homeschool Activities Program with my full consent and permission and at my request.
Liability Waiver
I hereby release SHABACH! Ministries, Inc., its successors, assigns, representatives, employees, and agents of any and all liability of whatsoever nature, character, or origin arising out of or resulting from my child’s participation in the SHABACH! Christian Academy Program and its related activities, including events, athletics, field trips, and transportation in school assigned vehicles.
I hereby release SHABACH! Ministries, Inc., its successors, assigns, representatives, employees, and agents from insurance protection for injury incurred.