The above-listed participant has my permission to participate in all WAPAC Main Event activities sponsored by the Washington Pacific District Church of the Nazarene on the campus of Puyallup Nazarene Church from March 20th through March 21st.
This consent form gives permission to seek whatever medical attention is deemed necessary, and releases the Washington Pacific District Church of the Nazarene, Puyallup Nazarene Church, and their representatives of any liability against personal losses of named participant.
I/We the undersigned have legal custody of the child named above, a minor, and have given our consent for him/her to attend events being organized by the Washington Pacific District Church of the Nazarene. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Washington Pacific District Church of the Nazarene, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Washington Pacific District Church of the Nazarene, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the participant named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the youth ministries staff member.