ROX Youth

Medical Liability and Photo Release:

I, the undersigned, being the parent or legal guardian of the child named above (hereinafter “the child”), do hereby consent to the participation of my child in all of Roxborough Youth and Roxborough Church Ministry Events for the year of January 2021 through December 2021. This includes activities both on and offsite, including but not limited to mission trips and retreats. Further, I certify that my child is physically fit to participate in these activities. I also understand that I will be notified in the case of any medical emergency involving my child. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event that my child is injured or becomes ill. I understand neither Roxborough Youth Ministry nor Roxborough Church, nor ministry staff be held responsible for medical expenses incurred, but that such expenses will be my responsibility as parent/guardian.I, also grant permission to The Roxborough Youth Ministry or Roxborough Church to publish pictures & videos of myself and/or the minor named above on Ministry websites, in promotional videos, press releases, or any other form of public publicity.

Statement of Rules and Expectations:

I also understand that all participants are expected to adhere to the following rules,

1. No use or possession of tobacco products, alcohol, or illegal drugs.
2. No use of inappropriate language will be permitted.
3. Cell phone use will be limited.

4. No leaving activity locations without permission from a leader.
5. Inappropriate displays of affection will not be permitted.
6. No disrespect to the adult leaders or other students will be tolerated.

I have completed the above, and have read these rules and understand that if there are any discipline problems with my child, that I am responsible for picking up my child from any activity of Paradise Youth Group at any time and location necessary.