CONSENT AND CERTIFICATION:
I give permission for my child to participate fully (excluding any activities disallowed above) in the church-sponsored activity listed at the top of this page. I further give permission for my child to ride with a licensed driver (age 18 or above.) I understand that transportation may be provided by volunteer drivers, driving personal vehicles, covered by the drivers’ insurance; and/or by bus drivers with Commercial Driver's Licenses; and that during transportation, my child is under the care of such driver(s) rather than being under the care of RockPointe Church. I understand that with any activity, including transportation, there is the chance of injury to person or damage to property. Notwithstanding that risk, I release, relieve and hold harmless RockPointe Church, its staff, members, and volunteers (including drivers) from any and all liabilities, including liability resulting from injury to person or damage to property, arising out of my child’s participation in this activity, including transportation provided by a volunteer driver and/or bus driver.
I understand that I am responsible for my child’s conduct during this activity and hereby give permission for reasonable corrective measures to be taken should my child need them (including dismissal.) I understand that I will be assessed reasonable charges for damages to property caused by my child. I am willing to pick up my child or pay for travel expenses home during any portion of this event should dismissal be necessary.
If my child attends Family Day on Saturday July 14, 2018, I (or an adult I designate) will attend with my child. I will be personally responsible for my child and his or her safety all day Saturday July 14, 2018.
I understand that my child may be photographed and/or recorded on video, and I give permission for these photographs and/or videos to be used in publications, websites, and social media of RockPointe Church and/or any other organization involved in this activity.
MEDICAL TREATMENT AUTHORIZATION:
I understand that I will be notified in the case of a medical emergency involving my child. However, in the event that I cannot be reached, I authorize the calling of a doctor and providing of all necessary medical services (including medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical procedures) in the event my child is injured or becomes ill. I understand that RockPointe Church will not be responsible for medical expenses incurred, but that will be my responsibility as parent/guardian. I hereby release the Church, its staff and volunteers of any liability in the event of accident or injury. I agree to notify the Church in the event of any health changes that would restrict my child’s participation in any activities. I also understand that the adult supervisors reserve the right to restrict my child from any activities that they do not feel are within the physical capabilities of my child.
KIDZ KAMP RELEASE:
As an attending counselor or as a parent or legal guardian of the above named student, I understand that the Kidz Kamp carries NO medical or hospitalization coverage. Furthermore, I will not hold the Kidz Kamp staff or their affiliated churches liable for any accident that may occur while attending Kidz Kamp.
In case of an emergency and inability to contact the parent/guardian or emergency contact, the Kidz Kamp staff and/or the church sponsors have my permission to proceed with any necessary medical treatment.