I (We) the parent(s)/legal guardian(s) of the following participant, hereby grant my (our) permission for him/her to participate fully in any activities sponsored by the Youth Ministry of San Pedro Presbyterian Church from August 2018 through and including August 2019.
Authorization and permission is given to San Pedro Presbyterian Church to furnish any necessary transportation, food and/or lodging for participant. Should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, I (we) assume all transportation costs.
I (We) hereby release, forever discharge and agree to hold harmless San Pedro Presbyterian Church and the leaders thereof from any and all liability, claims or demands for personal injury, sickness, death, as well as property damage and expenses incurred by the participant while participating in any San Pedro Presbyterian Church Youth Ministry sponsored activities. Furthermore, I (we) hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein.
I (We) hereby agree to hold harmless and indemnify San Pedro Presbyterian Church and their leaders for any liability sustained by San Pedro Presbyterian Church as the result of the negligent, willful or intentional acts of the participant, including any and all expenses incurred.
I (We) (being 21 years of age or older) understand that in the event medical intervention is needed, every attempt will be made to contact the persons listed on this form. In the event I cannot be reached in an emergency, I hereby authorize an adult leader, in whose care my (our) child has been entrusted, to consent to the physician or dentist selected by the adult leader to hospitalize, to secure medical treatment and/or to order an injection, anesthesia, X-rays, or surgery for my (our) child as deemed necessary.
Furthermore I (we) hereby give an adult leader with San Pedro Presbyterian Church consent for Emergency Medical Services (911) to be contacted in the event of a medical emergency. I (we) give consent to San Pedro Presbyterian Church for transportation for my (our) child by ambulance if deemed necessary.
I (We) further understand that my (our) insurance coverage for my (our) child will be used as primary coverage in the event medical intervention is needed. Any policy of the church or organization sponsoring this event will be used as the secondary coverage.
I (We) understand all reasonably safety precautions will be taken at all times by San Pedro Presbyterian Church and its agents. I (We) understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold San Pedro Presbyterian Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by my (our) child.