OctoberBash Permission Slip

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To Attend: OctoberBash  - October 24th 4:00PM-9:00PM


We will be meeting at Fairmount Wesleyan Church, Family Life Center, and traveling in church vans to Stillwater Camp in Yoder, IN. We will be eating dinner, playing games, and having a time of worship and teaching. Everything will be outside, come prepared to be outside!



I understand that FWC does not require my child/ward to participate in this activity, but I want my child/ward to do so, despite the possible dangers and risks and despite this Release. I, therefore, agree to assume and take on myself all of the risks and responsibilities in any way associated with this activity.  I assure FWC that there are no health-related reasons or problems which preclude or restrict my child/ward from participation in this activity.  I further assure FWC that I have adequate health insurance necessary to provide for and pay any medical costs that may directly or indirectly result from my child/ward participating in this activity, and I will indemnify and hold FWC harmless for any such medical costs. I release FWC (and its governing board, employees, and agents) from any and all liability, claims and actions that may arise from injury or harm to my child/ward, including death, or from damage to my property in connection with this activity.  I understand that this Release covers liability, claims and actions caused entirely or in part by any acts or failures to act on my part, including but not limited to negligence, mistake, or failure to supervise. I also understand that this release binds my child/ward’s heirs, executors, administrators, and assigns, as well as my child/ward.


I understand that my child/ward will be obliged to abide by the Church-Based Rules and by the Code of Discipline while participating in this field trip/program.  In the event of serious illness or injury to my child/ward, I expressly consent to the administration of emergency medical care, if in the opinion of attending medical personnel, such action is advisable.


 


I have read this Permission Slip and understand its terms.  I sign it voluntarily and with full knowledge of its significance. I HAVE READ THIS ENTIRE RELEASE, I FULLY UNDERSTAND IT, AND I AGREE TO BE LEGALLY BOUND BY IT. 


 
 
 
 
 
 
 
 
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