RIMROCK EVANGELICAL FREE CHURCH

Student Medical & Liability Release

Student Information

Medical and Liability Release


I hereby give permission for the above named student to participate in activities with the Rimrock Evangelical Free Church youth group. I do hereby release, forever discharge and agree to hold harmless Rimrock Evangelical Free Church or the host of a youth events from any and all liability, claims, or demands for personal injury, sickness or death, as well as property damage and expenses of any nature which may be incurred by the participant while participating in youth activities, events, retreats.
  Furthermore, I hereby assume all risk of personal injury, sickness, death or damage as a result of participation in youth group activities involved therein. I further hereby agree to indemnify any participating churches, their directors, employees and volunteers for any liability sustained by any participating churches as a result of the negligent, willful or intentional acts of said participant. In signing, I understand that any deposit is non-refundable, for events and activities. I also understand that my student will obey all regulations and follow instructions or be sent home at my expense.
  In the event that emergency medical treatment appears to be necessary, I give permission to the sponsors of the event(s) to obtain the services of qualified medical personnel and grant permission to such personnel to perform the diagnostic and/or medical procedures necessary. I agree to pay for all such treatment and to reimburse Rimrock Evangelical Free Church, as necessary, for all costs and expenses incurred by it with respect to such treatment.
*This release is valid for all youth events with Rimrock Church from September 1, 2024 through August 31, 2025. You will only need to fill this out once during that time period, unless changes need to be made to any of the information provided.
Parents Name(s) and phone numbers: