Liability Release Form for Children's Ministry

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In consideration for being accepted by _________________________________________ (parent or guardian’s name) for participation in Children's Ministry church services, miscellaneous events, and NBCA gatherings during the re-opening phase of ministry following the COVID-19 pandemic, We, (I) being 21 years of age or older, do for ourselves (myself) (and for and on behalf of my child-participant, if said child is not 21 years of age or older) do hereby release, forever discharge and agree to hold harmless Children's Ministry and New Brighton Christian Assembly and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, or any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in above-described trip or activity.  Furthermore we (I) (and on behalf of our (my) child-participant if under the age of 21 years) hereby assume all risk of personal injury, sickness, death, damage and expenses as a result of participation in recreation and work activities involved therein.  The undersigned further hereby agree to hold harmless and indemnify said church, its directors, employees and agents, 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.  We (I) are parent(s) or legal guardian(s) of this participant, and hereby grant our (my) permission for him (her) to participate fully in said trip (and / events), and hereby give our (my) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills. If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable arbitration process.

As parent or guardian of the child listed above, I am typing my full name in the following box stating that I consent to the above paragraph.

 
 

Description

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