Permission & Release Agreement
I, the parent or legal guardian of this child, do hereby give my permission for my child to attend and participate in Kid’s Outdoor Zone. It is my understanding that participating in the programs and other activities of Carlisle Evangelical Free Church is a privilege. Prior to my child’s participation, I acknowledge that there are certain risks associated with such programs that could result in an accident. While I understand that, even while the staff for this event have taken reasonable precautions to ensure the safety of my child and have made reasonable attempts to inform me about any risks, I realize it is impossible to be aware of and prepared for every possible risk that could arise while children are at play or enjoying various activities. I agree to assume all risks of my child, whether such risks are known or unknown to me at this time. By signing this form, I affirm that my child named above is capable of withstanding both the physical and mental demands of the activities listed above.
I release Carlisle Evangelical Free Church and its ministers, leaders, employees, volunteers, representatives, and agents from any and all liability and any claims that my child may have against them as a result of injury or illness incurred during the course of participation in the activities. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover all claims that members of the child’s family, heirs, representatives, or assigns may have against Carlisle Evangelical Free Church or its ministers, leaders, employees, volunteers or agents.
I also give my permission, in advance, for my child to receive emergency medical care and consent to any and all medical or surgical treatment or care of my child determined to be necessary or desirable by any physician attending my child, and authorize the representatives of Carlisle Evangelical Free Church to obtain any medical care which in their sole discretion is deemed necessary and appropriate in the event that a health need arises which seems to pose an immediate threat to the continued well-being of my child, and my spouse or I (or our contact person named above) are not available. I agree to be solely responsible for the costs of all medical care obtained on behalf of my child in consideration for the service provided to me and my child by the Carlisle Evangelical Free Church in connection with activities shown above.
By signing my name below, I am confirming that I have read and agree to the terms of KOZ's Permission and Release Agreement.