I, the undersigned parent or guardian, hereby consents to my son/daughter, participating in an event sponsored by PASSION Ministries from June 12th, 2024 through June 15th, 2024.
This event may include intense physical and teambuilding activities. I certify that my son/daughter is able to participate in physical activities except as stated below. If my son/daughter has medical conditions that may be relevant to a physician or staff in the event of an emergency, I have listed them below. In the event an emergency occurs, I may be reached at the telephone number listed below. If I cannot be reached, I hereby authorize the event coordinator to make emergency medical decisions for my son/daughter. If there are any activities I do not want my child to be involved in, I have listed them below.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold PASSION Ministries and its staff and volunteers, harmless from any and all liability, death, actions, causes of actions (including actual attorney’s fees, costs, and expenses) claims, expenses, and damages on account of injury, to my son/daughter or property which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Pennsylvania and/or Virginia and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.
I hereby give permission for any photography of my child on the camp premises or on a trip sponsored by Provider to be used in the publicity for Provider.
As of 2015, the laws have changed in the state of Pennsylvania and all Passion Ministries staff members are now mandated reporters. What this means is that we will call Childline if we have reasonable cause to suspect that a minor (under the age of 18) was or is a victim of abuse. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement that I have read and understand.