Use the bat-signal if this don't work.
In the event of an accident or special health needs, it will be necessary for us to have the requested information.
Please make certain that you provide thorough and accurate medical information.
All medications must be brought in the original bottle (prescription or over the
counter), properly labeled as prescribed by law. A current Authorization to
Administer Medication MUST accompany the meds. Forms will be available when you check your child in to camp.
Please write N/A if not applicable
I, being the legal guardian give permission to The
Connection Church staff, sponsors, or designees to provide medical treatment that may be deemed necessary to insure the well-being of the named student. I, the
undersigned, do hereby verify that the above information is correct and I do hereby release and forever discharge all from any and all claims, demands, actions or
cause of action arising out of damage or injury while participating in The Connection Church sponsored events and activities.
AGREEMENT TO ATTEND, PARTICIPATE, ASSUMPTION OF RISK AND RELEASE OF LIABILITY
The Connection Church of Kyle, Texas hereby referred to as the “Church” requires a signature for all attendees or participants of special events and activities. Furthermore, this form releases the Church to photograph and/or use photographs of students for use in its publications, advertising, promotional purposes, internet, and/or visual presentations which inform people of the services and activities of the Church. The signature provided confirms Agreement to Attend, Participate, Assumption of Risk , and Release Form in order to participate in special events and activities.
Events and activities may include rigorous physical activities as well as exposure to the elements, animals, and insects. The Church takes all reasonable precautions to ensure a safe and enjoyable experience. The decision to attend Church events/activities and the decision to participate in any Church activity at any level IS AT ALL TIMES COMPLETELY UP TO THE INDIVIDUAL’S CHOICE, and if there is attendance at the Church event/activity and participation at any level of any Church event/activity, there is a risk, which must be assumed by each attendee and by each participant. Although it is the Church’s goal to maintain the physical, emotional and social safety of each attendee and participant of the Church event/activity, the physical, emotional and social risks must be assumed by
each attendee and participant.
“I understand that attendance of Church events and activities and participation in Church events and activities may be physically and emotionally demanding. I
recognize the inherent risk of physical and/or emotional injury of attending Church events and activities and participating in any and/or all activities. I understand
that each participant must assume the risk of any injury, physical and/or emotional, and any financial responsibility that could result from attending Church events/ activities and participating in Church events/activities. I agree to assume such risks and such responsibility. I, on my behalf, and on behalf of my heirs and assigns, hereby release, indemnify and hold harmless The Connection Church of Kyle Texas from any and all claims, physical and emotional, including bodily injury, that I may have that may be sustained in connection with my attending Church events and activities and with my participation in any and/
or all Church event activities.
I understand that the staff and/or leadership of The Connection Church of Kyle, Texas reserves the right to dismiss, without refund, any student whose influence is detrimental to the operation of events or activities. I understand that the use of alcohol, tobacco products and illegal drugs is strictly prohibited at all Church events and activities.
RULES FOR CHURCH EVENTS & ACTIVITIES
1. Students are not allowed to have prank supplies (i.e. shaving cream, body paint, water balloons, water guns/blasters). There are no exceptions.
2. Adult supervision is required for all water activities regardless of the student’s age or water safety ability.
3. Drugs, alcohol, any form of tobacco, firearms, knives, or any kind of weapon, or fireworks are NOT allowed.
4. Students are expected to reflect a Christian example by their dress. Immodest clothes, distasteful designs or messages, or other extreme clothes are not acceptable at any time. Students may be asked to change their attire if an adult feels their dress is inappropriate.
5. Under NO circumstances are girls allowed to be in guys rooms, or guys in girls rooms.
6. No fighting is allowed.
7. Students are to respect all adult leaders and follow their instructions. All adults are in places of authority over all students.
8. Everyone must attend all scheduled activities/events
9. Students must wear nametags at all times (if provided as part of the activity/event).
The undersigned grants The Connection Church (“Producer”) and its designees and assignees the right to use my name, likeness, image, voice, appearance, whether recorded on or transferred to videotape, film, slides, photographs, digital media, digital recording, audio tapes, or other media, now known or later developed (individually and collectively the “Product”). This grant includes without limitation the right to edit, mix, or duplicate and to use or re-use the Product in whole or in part as Producer may elect. Producer or its designee shall have complete ownership of the Product in which I appear, including copyright interests, and I acknowledge that I have no interest or ownership in the Product or the Products’ copyright. I also grant Producer and its designees the right to broadcast, exhibit, market, sell, and otherwise distribute the Product, either in whole or in part(s), and either alone or with other products for commercial or noncommercial television or theater, closed-circuit exhibition, home video distribution or any other purpose that Producer or its designees in their sole discretion may determine. This grant includes the right to use this Product for promoting or publicizing any of the uses. I confirm that I have the right to enter into this Agreement, that I am not restricted by any commitments to their parties, and that Producer has no financial commitment or obligations to me as a result of this Agreement. I hereby give all releases and clearances, copyright and otherwise, necessary for the use of my name, likeness, image, voice, appearance and performance embodied in the Product. I expressly release and indemnify Producer and its officers, employees, agents and designees from any and all claims whether known or unknown arising out of or in any way connected with the above granted uses and representations. The rights granted to Producer herein are perpetual and worldwide. I have read the foregoing and understand its terms and stipulations and agree to all of them.
As a Christian and a member of The Connection Church , I recognize that Christians are called by scripture to a different standard of resolving their differences (Matthew 18; 1 Corinthians 6). In the event a dispute arises out of, or relates to this Release, I agree to comply with the Alternative Dispute Resolution Policy of The Connection Church , before commencing arbitration, litigation, or other dispute resolution procedure.
- I have read (or had read to me) this complete document and I understand the information contained herein. I have freely accepted and voluntarily signed this document.