Copy of All Nighter Consent Form 2024 Middle School

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Insurance Information

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Parent Covenant

Permission and Medical Release: I, the parent or guardian, grant my permission for him/her to participate fully in all youth activities, events, and trips sponsored by Journey Ministries of Davison. In the event treatment is called for in which a physician (or hospital personnel) is needed, I authorize adult leaders, volunteer or paid, to give such consent for all necessary medical treatment if we cannot be reached or if because of an emergency. Should medical help be needed, I agree to pay either directly and/or through my own health insurance policy all medical or hospital costs and to be solely responsible for said treatment and the cost thereof. I will keep my contact information up to date so I may be contacted as needed.


Waiver of Liability: I, the parent or guardian, in consideration of my youth being allowed to participate in all youth activities, events, and trips, being the undersigned, intending to be legally bound, hereby waive and release all rights and claims for damages, for injury, accident, or liability of any kind which I might have against the Journey Ministries of Davison, church staff, volunteer leaders and other participants. I acknowledge that my youth will participate at his/her own risk.


Photo Disclaimer: I, the parent or guardian, understand my youth will be involved in public performance and give permission for my youth’s photo or video to be placed on the website, in newspapers, publications, or in other promotional materials.


Supervisory Responsibility & early dismissal: I, the parent or guardian, understand that staff and volunteer leaders of Journey Ministries of Davison, are responsible for my youth only while they voluntarily remain with the group. If my youth were to leave the group, I understand the Journey Ministries of Davison, church staff, or volunteer leaders are not responsible. I have discussed this with my youth, and my youth is aware of our expectations for behavior while on the trip. I understand my youth may be sent home early at my expense with no refund.


 

Parent/Guardian Signature

 
 

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