The undersigned does hereby give permission for my child (“Participant”), to attend and participate in any Mt. Zion Church youth ministry activities, events, and retreats from the date the form is submitted until May 31, 2024.
LIABILITY RELEASE: In consideration of Mt. Zion Church allowing the Participant to be involved in youth ministry (RENU Youth and other Activities, Events, Retreats, Lock-Ins, Trips), I, the undersigned, do hereby release, forever discharge and agree to hold harmless Mt. Zion Church, its pastors, directors, employees, and volunteers (collectively herein the “church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the Participant while involved in any youth activity. I the parent or legal guardian of this minor hereby grant my permission to participate fully in any on-site or off-site youth ministry activity. Furthermore, I, on behalf of my minor, hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify said church 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.
MEDICAL TREATMENT PERMISSION: I authorize an adult, in whose care the minor has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital or emergency care facility. The undersigned shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned minor pursuant to this authorization.
EARLY RETURN HOME POLICY: Should it be necessary for said Participant to return home due to medical reasons, disciplinary action or otherwise, the undersigned shall assume all transportation costs and responsibility.
TRANSPORTATION PERMISSION: The undersigned does also hereby give permission for said Participant to ride in any vehicle driven by an approved and licensed ADULT leader (25+) while attending and participating in activities sponsored by Mt. Zion Church. My minor and I understand that SEAT BELTS MUST BE WORN AT ALL TIMES during transportation.