Lakes Community Church - Rooted Youth Group
6703 N. Idaho Rd; Newman Lake, WA 99025
Church:(509)226-5148 Chase Cell:(509)919-0522 Katlynn Cell:(509)954-0605
The Lakes Community Church Rooted Youth Group provides regularly scheduled youth activities for the young people that attend. Some of these events are not confined to the church grounds. By signing this form, you are extending permission for your child’s attendance at the youth event, whether on the church grounds, while traveling to and from another location, and while participating in any event off of the church grounds. This applies to events/activities sponsored by Lakes Community Church or by another group in which Lakes Community Church is a participant.
A copy of this form will be filed at the church and copies will be provided for the youth leader(s) that will be responsible for your child. In case of a medical emergency, this form will grant permission for any authorized youth leader to seek and secure medical treatment and/or surgery for your child if necessary. (We will ALWAYS first attempt to contact you using every means available to us before proceeding with the use of the medical release form.)
PERMISSION: I hereby give permission for my child to participate in the activities/events sponsored by Lakes Community Church Youth Group.
EMERGENCY: In the event of any illness or injury, I hereby consent to whatever x-ray, examination, anesthetic, medical, or surgical procedure or treatment and/or hospital care from a licensed physician and/or surgeon as deemed necessary for the safety and welfare of my child. It is understood the resulting expense will be the responsibility of the parent(s) or participant.
STUDENT CONDUCT: I fully understand that my child is to accept and obey all rules and requirements governing conduct attending church sponsored trips, events and activities, it is understood that any child determined to be in violation of these standards may be disallowed further participation in the activity and that I may be called and asked to come and remove the child form the responsibility of the Lakes Community Church personal.
LIABILITY RELEASE: I, the undersigned, hereby release and discharge Lakes Community Church, its officers, employees, agents, and servants from all liability arising out of or in connection with church activities or trips that result from any cause other than the negligence of the church.
