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Youth Permission Form

The following is a "General Release/Hold Harmless Agreement" for parents of students wishing to participate in events with the Cedar Ridge Youth Group (high school and/or middle school).  (Nov 2009)

As a parent or legal guardian of the student in question, I agree to the following:

  • DESIRE – The student above desires to participate in the programs, events, or activities (hereinafter collectively referred to as “Activities”) operated or sponsored by the Cedar Ridge Community Church (hereinafter referred to as the “Church”) and its Student Ministries.
  • POSSIBILITY OF INJURY – The student above may incur personal injury or bodily damage while participating in such Activities.
  • NECESSITY OF PERMISSION SLIP – The student can not participate in such Activities without releasing and holding harmless the Church and Student Ministries.
  • GENERAL RELEASE AND DISCHARGE – I, the undersigned, request that the Church and Student Ministries allow the student to participate in the Activity and in consideration thereof agree to hereby release, and forever discharge the Church, Student Ministries, their officers, directors, employees, agents, and any parties volunteering on behalf of the Church of Student Ministries from all actions, claims, damages, costs, expenses, or damages of any kind growing out of or related to the Activity.
  • RELEASE FOR INJURY AND DAMAGES – I acknowledge that this is a full and complete release for all injuries and damages which the above student may sustain as a result of participating in the Activities.
  • TREATMENT FOR INJURY – I authorize the treatment of the student by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment, or undue discomfort if delayed, while said minor is participating in the activity, including transportation to and from the site. The authority is granted only after a reasonable attempt has been made to contact me, the parent/guardian.

After reading this release, the parent or legal guardian of a student can give permission for her/him to participate in this event, under the direction and supervision of Cedar Ridge Community Church.

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