Please note - if you are registering your children's friends, please make sure the parent of any child attending has filled out this form completely and signed it. Thanks ... if you have questions, please call 258-1228 and ask for Jess.
6-8 p.m. Monday, Tuesday, Wednesday, June 3-5
6-8 p.m. FAMILY NIGHT Thursday, June 6
Allergies, notes, etc.
(If your child has an allergy, please pick up a wristband for them each DAY at registration.)
Parental Consent - The undersigned does hereby give permission for my child/children to attend and participate in any Charity Lutheran Church children/youth ministry activities, events and retreats.
LIABILITY RELEASE:In consideration of Charity Lutheran Church allowing the Participant to participate in youth ministry (Sunday worship, Wednesday worship, Activities, Events, Retreats, Lock-Ins, Trips) and childcare, I, the undersigned, do hereby release, forever discharge and agree to hold harmless Charity Lutheran, its pastors, directors, employees, volunteers and teachers (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 youth activities. I the parent or legal guardian of this Participant hereby grant my permission for the Participant to participate fully in 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.
TRANSPORTATION PERMISSION: The undersigned does also hereby give permission for my child/youth to ride in any vehicle driven by an approved and licensed ADULT chaperone while attending and participating in activities sponsored by Charity Lutheran Church. My child/youth and I understand that SEAT BELTS MUST BE WORN AT ALL TIMES during transportation.