I, give permission to Xenia Grace Staff and Volunteers to take my child, named above, on the Grace Youth Event stated in this form. I give permission for my child, named above, to participate in all activities included in the Grace Youth Event stated in this form.
While every precaution is taken for the safety and good health, some sports and activities carry with them the inherent risk of personal injury beyond the risks associated with many of the recreational activities at the church. I/we understand and accept these risks and agree that by allowing my child to participate in those activities, he/she may be taking part in a recreational activity that presents the potential for personal injury.
I/we, the parents or guardians named below, authorize the Next Gen Pastor or one of Xenia Grace’s church personnel to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.
I/we named below, undertake and agree to indemnify and hold blameless Xenia Grace, its personnel, its pastors, and board from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Xenia Grace, as well as any medical treatment authorized by the supervising individuals representing Xenia Grace. This consent and authorization is effective only when participating in or traveling to the event mentioned in this form.
