• SUNCREST WORSHIP EVENT RELEASE FORM | MOSAIC

    Medical and Permission Release Form
  • Medical/Permission and Release Form

    I give permission for (Child Name) to attend (NAME EVENT) SUNCREST WORSHIP and Mosaic Student Ministries My permission is granted for SUNCREST WORSHIP staff member or sponsor in charge of the event to obtain necessary medical attention in case of sickness or injury and to make medical decisions for (Participant's Name

    I/We, the undersigned, do hereby release, and forever discharge all sponsors, leaders, volunteers and SUNCREST WORSHIP from any and all claims, demands, actions or cause of actions, past, present or future arising out of any damage or injury while participating in the event listed above. We further accept financial and physical responsibility for the return of child, should the adult supervision find it necessary to send him/her/them home (as applicable) or for medical care costs that may arise due to accidental injury while at this event. We hereby give permission to leadership of this event to be the advocate between our child and medical professionals as necessary in the case of emergency knowing that I will be contacted as soon as possible to be informed of any injuries or emergencies involving my child.

    RELEASE OF VIDEO / PHOTOGRAPHY

    (Suncrest Worship & its ministries may use photo and video of mostly group settings at camp to promote future camps and donors who continue to make this ministry possible) I give permission for leaders from Suncrest Worship & Mosaic Student Ministries to use photo's and videos of the above mentioned child for promotional purposes in print, video and online. I release Suncrest Worship of all claims and demands (please check one

    NO I DO NOT GIVE MY PERMISSION

  • Name Of Parent/Guardian & Signature of Parent/Guardian

  • Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Emergency Contacts for Student

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Photography Release
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  • Should be Empty: