Children will not be allowed to participate in VBS without a signed release waiver. PLEASE READ AND PRINT NAME BELOW (printed name will be considered your digital signature):
Participation Authorization and Consent to Emergency Medical Treatment:
By completing this registration, I certify that I am the parent or legal guardian of the minor child whom I am registering for VBS at CrossWay Bible Church. I hereby give my consent to have my minor child participate in the following activity of VBS (hereafter “the activity”) on or about July 7, 2024 through July 11, 2024.
I recognize that there are risks involved in participating in the activity and hereby assume all risk of injury, harm, damage, or death to my minor child in connection with his/her participation in the activity.
To the fullest extent permitted by law, I release CrossWay Bible Church, its trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death which may occur to my minor child while participating in the activity and agree to save and hold harmless CrossWay Bible Church, its trustees, officers, directors, employees, agents and representatives from any claims arising out of my minor child’s participation in the activity.
Further, being the parent or legal guardian of the minor child, I do consent to any medical, surgical, x-ray, anesthetic, or dental treatment that may be deemed necessary for my minor child. I understand that efforts will be made to contact me prior to treatment but, in the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment. Should there be no activity leader available, I give permission to the attending physician to treat my minor child. As parent or legal guardian, I understand that I am responsible for the health care decisions of my minor child and agree that my insurance plan is the primary plan to pay for the medical, dental, or hospital care or treatment that is given to my minor child. Any insurance policy of the church or organization sponsoring the event will be used as the secondary coverage.
Please type your name above to agree.
PLEASE READ AND SELECT "YES" BELOW:
I hereby grant permission to CrossWay Bible Church (hereafter “the church”) to use photograph(s) or video(s) of my registered minor child(ren) on its website or in other official church printed publications without further consideration and until otherwise revoked, and I acknowledge the church’s right to crop or treat or edit the photograph(s) and video(s) at its discretion. I also acknowledge that the church may choose not to use my photograph(s) or video(s) at this time, but may do so at its own discretion at a later date.
I also understand that once my minor child(ren)’s image or video is posted on the church’s website, the image can be downloaded by any computer user. Therefore, I agree to indemnify and hold harmless the church, its executive board, pastor, associate pastors, elders, staff, its members and designees from any claims arising out of the use of my minor child(ren)’s photograph(s) or video(s).
The church reserves the right to discontinue use of any photograph(s) or video(s) without notice.