IMMANUEL EVANGELICAL CHURCH WEDNESDAY YOUTH

Wednesday Youth registration form. Please complete one form per child. Once form is completed, you will receive an email with a link to our Medical Authorization form. Please complete as soon as possible.
 
 
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DISCLAIMER


Immanuel Evangelical Church (IEC) and its leaders, directors, officers, employees, contractors, agents, volunteers, members and representatives, are not responsible for any injury, loss or damage of any kind whatsoever sustained by any person or their property while participating in events, activities or travel with IEC and all related activities associated with the IEC.


 


ASSUMPTION OF RISKS


IN CONSIDERATION OF IEC allowing my child to participate in all events, activities, travel to such events and activities, and the IEC Youth Group Program, I acknowledge that I am aware of the possible risks, dangers, and hazards – including the possible risk of a severe or fatal injury - to my child that are associated with participation in IEC events, activities, travel and Youth Group Program.


RELEASE OF LIABILITY and AGREEMENT


IN CONSIDERATION OF Immanuel Evangelical Church allowing my child to participate in the activities, I agree on behalf of my child:


1. TO ASSUME and ACCEPT ALL RISKS associated with or related to my child’s participation in the activities.


2. TO WAIVE and RELEASE Immanuel Evangelical Church from any and all liability for any loss, damage, injury, or expense that my child may suffer,


3. TO INDEMNIFY and HOLD HARMLESS Immanuel Evangelical Church from any and all liability for any damage to the individual property of, or personal injury to, any third party resulting from my child’s participation in the activities.


4. TO INDEMNIFY and HOLD HARMLESS Immanuel Evangelical Church from any and all claims, demands, actions and costs for any loss, injury, damage, or expense whatsoever that might arise out of my child’s participation in the activities.


 


YOUTH PARTICPATION CONSENT


Acknowledgment of Participant:


I, the undersigned Participant, understand that I am solely responsible for my behavior, both positive and negative. I agree to act in a safe, responsible, and respectable manner. For the protection of myself and others, I will follow directions always given by the IEC Youth Coordinator and/or volunteer leaders while attending IEC youth sponsored activities and events both on and off IEC church grounds. Furthermore, I will promise to post only positive, Christian like pictures and videos to social media while attending IEC sponsored youth group events both on and off church grounds. I understand that I may be photographed or appear in a video for purposes deemed beneficial to Immanuel Evangelical Church.


 


Acknowledgment of Parent or Guardian of Participant:


I, the undersigned parent or guardian of the Participant, hereby authorize and consent to the participant’s involvement in the IEC Youth Group programs, and activities including any use of private or public transportation deemed necessary by the IEC Youth Coordinator and/or volunteer leaders for Participant travel to and from IEC Youth Group sponsored activities and events. In addition, I hereby authorize the IEC Youth Coordinator, directors, employees and volunteers to travel to the nearest suitable medical or hospital facility in the event that emergency or other medical treatment is not available at the site of an IEC sponsored activity or event both on and off the premises of Immanuel Evangelical Church.  I hereby consent to and authorize such emergency or other medical treatment of the Participant as deemed necessary in the event of an accident, injury, or illness during the activities and events sponsored by the IEC Youth Program.


 


ACKNOWLEDGEMENT and SIGNATURE


I UNDERSTAND THAT THIS IS A LEGAL AGREEMENT that is binding upon myself and my heirs, executors, administrators, successors, and assigns. I HAVE READ AND UNDERSTAND THE TERMS OF THIS AGREEMENT and I ACKNOWLEDGE THAT by signing this agreement voluntarily, I agree to abide by its terms, and I am waiving certain legal rights that my child or I may have.


 


This Consent, Authorization and Acknowledgment shall be effective until cancelled in writing by the parents.



 


     
 
 
 
 
 
 
 
 
 

Description

Wednesday Youth registration form. Please complete one form per child. Once form is completed, you will receive an email with a link to our Medical Authorization form. Please complete as soon as possible.