Student Ministries Participation Agreement And Medical Release (Page 2 of 2) in pdf

May 2015 - April 2016

Student Ministries Participation Agreement and Medical Release

By signing below, the participant (or parent/guardian if participant is a minor) acknowledges and accepts the risks of physical injury

associated with participation with activities sponsored by Red Mountain Community Church. Except for gross negligence on the part

Red Mountain Community Church, the participant‘s parent/guardian accepts personal financial responsibility for any bodily or personal

injury sustained during the activity. Further, the participant (or parent/guardian) promises to hold harmless Red Mountain Community

Church and its representatives for the any injury related to the activity. If a dispute over the agreement or any claim for damages arises,

the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable arbitration process.

By signing below, I also authorize, in advance, the RMCC leaders to give my son/daughter Tylenol (or similar pain medication) if, in the

opinion of the adult leaders of the activity, my child is in need of such over-the-counter medication. (Strike out this paragraph and

initial if not authorized.)

DISCIPLINARY/SEARCH RELEASE: By signing below, I agree to pay any expenses including the cost of my son/daughter being sent

home if discipline is deemed necessary. I further understand that in the interests of providing necessary accountability to m y child, the

attending Pastor may search my child’s belongings if there is reasonable suspicion that any prohibited items have been brought by my

child. I also understand that the Pastor will always act in the best interest of any student by handling any search quietly and discretely

with at least one other Youth Staff member present. In the event any of the prohibited items are found, the Pastor will, after conferring

with the Executive Pastor, make a decision regarding the best course of action for the emotional and spiritual growth of my child and the

other students present.

PHOTOGRAPHY RELEASE: By signing below, I hereby give Red Mountain Community Church the right to record photographs and

video footage of my child(ren) and to use, re-use, publish and re-publish in whole, or in part for any purpose, including, but not limited to

illustration, training or promotion. I hereby release and discharge Red Mountain Community Church from any and all claims, and

demands arising out of or in conjunction with the use of the images. I understand that, in the course of events at Red Mountain

Community Church and for the purpose of fostering positive relationships, students or volunteer staff may take photographs, taken in a

public setting, of my child(ren) along with others and post them on Social Media (Facebook, Instagram, etc.). (Strike out this paragraph

and initial if not authorized.)

_______________

__________________

__________

Parent/Guardian Printed Name

Parent/Guardian Signature

Date

Student Ministries Participation Agreement And Medical Release Page 2