Indicates required field
Parent Phone Number
Student Phone Number
Elevate Student Ministries Liability Waiver
PERMISSION AND TRANSPORTATION
I, ______________________ give permission for my child to participate in and to be driven by the adults leading the activity.
I recognize that certain hazards and dangers are inherent in the events and programs of Emmanuel Baptist Church. I acknowledge that although Emmanuel Baptist Church has taken safety measures to minimize the risk of injury to participants, Emmanuel Baptist Church cannot guarantee that the participants, equipment, premises, and/or activities will be free from hazards, accidents, and/or injuries. In consideration of Emmanuel Baptist Church accepting and permitting my child to participate in this activity, I agree that Emmanuel Baptist Church, a non
profit corporation, its agents, officers, employees, trustees, and volunteers will not be liable for any injury, death, damage and/or loss to my child, and/or anyone claiming on my child’s behalf, and I further agree to hold harmless, indemnify and defend Emmanuel Baptist Church, its officers, agents, employees, trustees, and volunteers for and from any and all damage during the activity, whether such injury, illness, or damage occurs on or off the church premises.
I certify that photographs or videotape pictures of my child participating in Emmanuel Baptist Church programs may be reproduced and utilized in promotional materials for the Church.
Sign in agreement to the details above and submit registration
We Would Love to Have You Visit Soon!
9:30A and 10:45A
Connect With Us
Connect With Us