Summer Events Parent Consent Form

We hereby give our child/minor permission to attend the following excursion/event conducted, sponsored, or attended by Grace Bible Church Pearlside: Date: Summer 2018 Destination(s): TBD Purpose: Pearlside Youth Ministry Summer Event Transportation: Youth are expected to provide their own transportation unless otherwise noticed. RELEASE OF ALL CLAIMS AND INDEMNIFICATION 1) In consideration of permission granted to ________________________________ (type minor’s full name below) hereinafter the “participant” by Grace Bible Church to participate in the activity listed above, the undersigned hereby releases, discharges, and covenants not to sue Grace Bible Church, Every Nation Ministries, Hawaii Convention Center, it’s agents, employees and officers from all actions, causes of action, damages, claims, or demands which the undersigned and or participant ever had, or now has, or may have, or which the undersigned and/or participant’s heir, executors, administrators, or assigns may have, or claim to have against Grace Bible Church, it’s agents, employees, and officers for all personal injuries and property damage, known or unknown, which the undersigned and/or participant have or may incur by participating in the above described activity. 2) As additional consideration for permission to participate in the above-described activity the undersigned agrees to indemnify, save, and hold harmless the Church, it’s agents, employees, and officers from any and all deaths, injuries, losses and damages to persons or property, and any and all claims, demands, suits, actions and liability therefore, caused by the participant’s participation in the above activity. 3) The undersigned agrees to authorize such medical treatment as necessary in the event of illness or injury to said participant. 4) If applicable, the undersigned as a parent(s) or legal guardian(s) of the participant represents to Grace Bible Church, that facts herein concerning the participant are true. The undersigned hereby gives you permission for the participant to participate in the above-described activity, and further, in consideration of permission granted by Grace Bible Church to participate in the above-described activity. Agree individually and on behalf of the participant to the terms of the above Release of all Claims and Indemnification. 5) The undersigned has received and read the informed Consent and Assumption of the Risk for the activity listed on the previous page and knows the contents thereof. We further grant permission for our child/minor to travel by Church or private vehicle to and from the above destination. Contact Person(s): Pastor: Chad Udani (808) 228-6875 Campus Minister: Casey Bautista (808) 218-5155 Campus Minister: Edwin Izumigawa (808) 342-750 Campus Minister: Henric Razon (808) 429-4079
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