Heritage Christian Fellowship Permission Slip

I am aware that no recreational activities are without the possibility of unforeseen hazards. I understand that certain activities have the inherent possibility of risk and it is impossible to list all such risks. I am aware that transportation, football, basketball, soccer, baseball, dodge ball, relay games, broom hockey, skiing, snow tubing, ice-skating, snowboarding, boating, water skiing, wakeboarding, and tubing, use of personal water craft, biking, capture-the-flag game at night, riflery, volleyball, roller-skating/blading, skate boarding, swimming, surfing, car rallies, paintball and building projects, amusement parks (the ACTIVITIIES) are potentially hazardous. I am voluntarily allowing my child to participate in the ACTIVITIES with the knowledge of the possibility of danger involved, and hereby agree to accept any and all risk of injury or death to my child, and verify this statement by checking above.

As consideration of Heritage Christian Fellowship permitting my child to participate in the ACTIVITIES, I hereby agree that I, my assignees, heirs, distributees, guardians and legal representatives will not make claim against, sue, attack the property of Heritage Christian Fellowship, any of its affiliated organizations, or any of its Elders, Deacons, employees, volunteers, or agents for injury, death, or damage resulting from the neglegence or other acts, howsoever caused, by any employee, agent, or contractor of Heritage Christian Fellowship or any of its affiliated organizations as a result of my child’s participation in the ACTIVITIES. I hereby release Heritage Christian Fellowship, its affiliated organizations, its Elders, Deacons, employees, volunteers, and agents from all actions claims, or demands that I, my assignees, heirs, distributees, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my child’s participation in the ACTIVITIES. I further acknowledge and agree that Heritage Christian Fellowship shall not be liable for any injury, death, damage to my child resulting from any activity in which my child participates which is outside of the scope of those ACTIVITIES that are sponsored and sanctioned by Heritage Christian Fellowship, and verify this statement by checking above.

In the event I cannot be reached in an emergency, I hereby authorize the physician and/or dentist selected by Heritage Christian Fellowship to hospitalize, secure proper medical and/or dental treatment and/or provide an injection, anesthesia, or surgery for me or my child as deemed necessary. I also authorize Heritage Christian Fellowship to administer medical aid as required for illness or injury under a physician’s orders and verify this statement by checking above.

I give permission for my child to be photographed and/or videotaped for future promotional materials including web site postings. I do so without expectation of compensation and with the understanding that these photographs and video images will be used exclusively by Heritage Christian Fellowship for its publications, web site, and publicity purposes and verify this statement by checking above.

I understand that , pursuant to California law, by executing this RELEASE FROM LIABILITY, I am not waiving my rights or my child’s rights with regard to any potential claims that may arise from the fraudulent, intentional and/or criminal conduct of, any Heritage Christian Fellowship affiliated organizations, or any of its Elders, Deacons, employees, volunteers, or agents and verify this statement by checking above.

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and Heritage Christian Fellowship and sign it of my own free will and verify this statement by checking above

It is acknowledged that if my child has to return home early for discipline violations, it will be a the parents' / guardians' expense by checking above.