RELEASE OF LIABILITY WAIVER
In consideration of Saeroun Reformed Church allowing the participant to participate in children/youth ministry (Sunday worship, Sunday meeting, activities, events, retreats, lock-Ins, trips) and childcare, I, the undersigned, do hereby release, forever discharge and agree to hold harmless Saeroun Reformed Church, its pastors, respective offices, directors, trustees, board of directors, members, volunteers, employees, or agents (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the Participant while involved in the children/youth activities and childcare.
I the parent or legal guardian of this participant hereby grant my permission for the participant to participate fully in children/youth ministry activities and child care, including trips away from the church premises. Furthermore, I, on behalf of my minor participant, hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein.
The undersigned further hereby agrees to hold harmless and indemnify said church for any liability sustained by said church as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto and does hereby for himself, herself, heirs, executors and administrators waive, release and agree to hold free from all claims for damages the church and its pastors, respective offices, directors, trustees, board of directors, members, volunteers, employees, or agents.
I hereby allow the Church to take pictures (still or video) of myself and/or my children and grant permission for these images to be used in church publications, presentations, publicity or promotions. This agreement applies to all past, present and future participation in any church activity without respect as to location.
TRANSPORTATION POLICY
The undersigned does also hereby give permission for my child to ride in any vehicle driven by an approved and licensed ADULT chaperone while attending and participating in activities sponsored by Saeroun Reformed Church. My child and I understand that SEAT BELTS MUST BE WORN AT ALL TIMES during transportation.
AUTHORIZATION FOR EMERGENCY MEDICAL ATTENTION
In the event of sickness or accident, I expect to be contacted; however, if I cannot be reached, I, the undersigned, hereby give my consent for the attending church staff member to provide emergency care and/or treatment for my child through a clinic, hospital or private doctor. I give my express consent for x-rays, if the attending physician feels it is advisable or necessary. I also agree to be responsible for the costs and fees contingent upon any emergency medical care and/or treatment for my child as secured or authorized under this consent. I also give my consent for emergency first aid to be administered to my child by the church staff. I understand for an accident involving a more serious injury, the Fire Department ambulance may be called and my child may be taken to the nearest hospital for treatment. This agreement shall continue as long as my child participates in Saeroun Reformed Church programs.