Collide Retreat 2025

PARENTAL CONSENT
By clicking I agree below, I hereby give permission for theabove-namedchild to attend and participate in activities sponsored by the Highland Oaks Church of Christ. I understand that in the even medical treatment is required for the abovename'schild, every effort will be made to contact me. However, if I cannot be reached, I authorize an adult in whose care the minor has been entrusted to consent to any x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care to be rendered to the minor under the general supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act or the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. The undersigned shall be liable and agreesto pay all costs and expenses incurred in connection with such medical and dental services rendered to theaforementioned childpursuant to this authorization. Should it be necessary for mychild to return homedue to medical reasons or otherwise, the undersigned shall assume all transportation costs. The undersigned does also herby give permission for mychild to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by the Highland Oaks Church of Christ.

RELEASE OF CLAIMS

Activity: Highland Oaks Church of Christ Sponsored Activities(“Activity”)Date: 2025

- I certify that I am cognizant of the inherent dangers associated with participation in the Activity and with the fact that participating in the Activity may take place outside of, oroff of, church premises.

- I understand and agree that neither Highland Oaks Church of Christ, norits trustees, representatives, instructors or agents may be held liable in any way for any occurrence in connection with my child’s participating in the Activity which may result in injury, harm or other damages to me or my family.

- As a part of the consideration for being allowed to enroll and participate in the Activity, I hereby personally assume all risks in connection with my child’s participation in the Activity. I further release Highland Oaks Church of Christ, it’s elders,ministers,teachersand representatives for any injury or damage which may befall my child while my child is enrolled in or participating in the Activity. I further agree to save and hold harmlessHighland Oaks Church of Christ, it’s elders,ministers,teachersand representatives from any claim by me or my family, estate, heirs or assigns arising out of my child’s enrollment and participation in the Activity. I also authorize Highland Oaks Church of Christto render or obtain such emergency medical care or treatment as may be necessary should any injury, harm or accident occur to my child while participating in the Activity.

- I further state that I am of lawful age and legally competent to sign this affirmation and release; that I understand the terms herein are contractual and not a mere recital; and that I signed this document of my own free act and volition. I further state and acknowledge that I have fully informed myself of the contents of this affirmation and release by reading it before I have signed it.

- I also understand that in the event my child becomes a discipline problem, he/she will be sent home at my expense and will forfeit all monies paid.

PHOTOGRAPHY RELEASE

I grant permission to Highland Oaks Church of Christ, its trustees, representatives, instructors, or agents the right to use my child’s name, image, likeness, voice, appearance or performance on photographs, film, videotape, slides, audio tapes or other media. An image of my child may be usedwithout compensation as Highland Oaks deems appropriate including but not limited to use on slides, printed materials, videos or web pages for commercial or non-commercial purposes.

Collide Retreat 2025

Description

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