Limitless Youth / Covenant Kids Waiver

Children Names(Required)

First NameLast Name

Parent or Legal Guardian Name(Required)

First

Last

Parent or Legal Guardian Cell Phone(Required)

Parent or Legal Guardian Email(Required)

Additional Emergency Contacts(Required)

Other than you, enter one or more emergency contacts

NameRelationshipCell Phone

Consent(Required)

The undersigned parent/legal guardian hereby gives permission to Covenant Life Christian Center (“Church”), for my child to take part in Covenant Kids / Limitless Youth activities ("activities"). Should my child require immediate or emergency medical care while engaged in an activity sponsored by the Church, in my absence, I hereby grant the Church authority to release my child for medical treatment to such medical personnel as the Church determines appropriate under the circumstances. In consideration for the privilege of allowing my child to participate in the activities, I agree to release and hold harmless the Church, its officers and agents, from any liability to or responsibility for bodily injury, damage or illness to the above-identified child while participating in any youth athletic or social activity which may be directly or indirectly sponsored by the Church. Further, I agree to indemnify and hold harmless the Church, its officers and agents with respect to any claim asserted by or on behalf of my child as a result of bodily injury, illness, or damage. PLEASE READ CAREFULLY, THIS PERMISSION SLIP IS A LEGAL DOCUMENT WHICH INCLUDES A RELEASE OF LIABILITY AND INDEMNIFICATION

I agree to the activity waiver conditions.

Parent or Legal Guardian Signature(Required)

Not signed yet.