Signature of Parent or Guardian
(Please Read Carefully & Fill Out Completely)
I hereby give my permission for my son/daughter to participate in youth activities organized and/or led by the youth ministry of Calvary Chapel Sonora. As the legal parent/guardian of the above, I assume all and full responsibility and liability for any illnesses, disease, infirmity or alteration in physical condition sustained by any person for any reason whatsoever. I hereby release Calvary Chapel Sonora, its employees and its officers (including those ‘drivers’ helping in the transportation of students in an activity) from any and all responsibility and liability in case of illness, accident, injury, or death, and authorize any medical care deemed necessary by an accredited physician, nurse, paramedic or hospital while involved in the aforementioned activity. In the event of illness, accident or injury while the student
is in the care of Calvary Chapel Sonora, I understand and agree that I am financially responsible for any care provided.
In the event that it becomes necessary or advisable for any reason whatsoever to alter the itinerary or arrangements, the leadership reserves the right to make such alterations.
I understand that I will be required to pick-up that aforementioned student at the leadership’s request if the participant’s behavior is contrary to the spirit and intent of this activity.
The signing of this form by the parent or legal guardian shall be consent to the above conditions.