THIS IS YOUR RELEASE AND WAIVER OF LIABILITY (the “Release”). You release the Church of God of the Union Assembly, Inc. (Church of God UA), its board members, employees, volunteers, agents, other participants, and/or others acting on its behalf. You agree that this Release is effective immediately.
Functions and Activities
I understand all safety precautions will be taken at all times by Church of God UA and its agents during all events and activities. I fully understand and agree that in participating in one or more of the activities, events, excursions, or using the facilities that shall be maintained by the Church of God UA, there is the possibility of accidental or other physical injury. Prior to my or my child/youth's participation in such activities, I acknowledge that there are certain risks associated with the activities including, by way of example, physical injury due to activity related accidents, physical injury due to transportation related accidents, illness, or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.
Release of Liability
By signing this Permission/Waiver Form, I expressly warrant that the participant named above is capable of withstanding the physical demands of the activities discussed above. I further release and agree to hold harmless, defend and indemnify the Church of God UA and its board members, employees, volunteers, agents, other participants, and/or others acting on its behalf from and against any and all claims for personal injury (including loss of life) and all other losses or damages.
First Aid and Emergency Medical Treatment
I recognize that there may be occasions where the participant named above may be in need of first aid or medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of the Church of God UA to seek and secure any medical attention or treatment for the participant named above, including hospitalization, if in the agent’s opinion such need arises. In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment. I give permission for attending physicians(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.
Special Events and Field Trips
I understand that the participant named above will be participating in various activities from January 1, 2024 through December 31, 2024. I understand that during this period myself or the participant may take part in activities such as: Winter Camp, Small Group Activities, Youth Conferences, Spring/Fall Festivals, and other activities consistent with the purposes of the church. Authorization and permission is hereby given to the Church of God UA to furnish any necessary transportation, food, and lodging, for myself or the participant during the excursions and activities of the youth ministry program. I also understand that I may be asked to sign Special Permission Slips in addition to this form.
Publicity
On occasion, the Church of God UA takes photographs or makes an audio or video tape recording of children and/or adults involved in church activities. Such photographs or video records may be used by staff and participants to remember the activities or participants. In addition, such photographs and audio/visual recordings may be used in Church of God UA publications or advertising materials to let others know about our ministry. In addition, local news organizations may hear of our activities or events, and our church may invite or allow them to photograph or record our events for news reporting on special interest features. I consent to the use of any such audio or visual record of msyelf or the participant named above to be used, distributed, or displayed as agents of the church see fit. This consent includes but is not limited to: photographs, videotape, and audio recordings. Furthermore, I give permission for such photographs and other audio or visual records to be used by the news media.