Drop-off FMB at 7:30 AM, Pick up at 4 pm FMB
Come join us for a super fun day! It's $25 per student (pay online below) for 2 hours of floating on Rainbow River!
Bring $5 the day of for food, and don't forget your towel, swimsuit (one-piece/tankini for girls), sunscreen, water shoes if desired, and an extra change of clothes for the ride back!
Medical Release Form Required for this Event!
Student's First & Last Name
Student's Phone #
Parent First & Last Name
Parent Phone #
Allergies / Activities Waiver
I certify that I am the parent/legal guardian of the minor listed above. I allow and/or give permission for the minor to participate in the trip to Rainbow River with the youth department of Highland Park Church on July 13, 2017. I fully consent and give permission for the minor listed above to participate in the activity/activities planned during this event. I also certify that the minor is physically able to participate in the event (e.g., if the event involves boating or swimming, I certify that the child is able to swim, etc.). I also certify that I have listed, either below or on the annual medical consent form, any allergies and/or medical conditions that may be relevant to a physician in the event of an emergency. I have also written below any activities that I do NOT want the child/minor to engage in. The activities I DO NOT want my child/minor to engage in are:
(please put "none" if no activities noted):
In consideration for being allowed to go on the above listed trip or event I give consent for the child/minor to participate in any activities, events, or programs associated with the trip/event unless mentioned above. I agree to inform the church immediately of any change in any of the information resented, and understand that this form is valid until revoked by me in writing.
I, the parent/legal guardian of the minor, acknowledge that I am aware of where the minor is traveling and voluntarily accept such risks normally associated with such activities. I understand that Highland Park Church of the Nazarene will take reasonable precaution and care to insure the minor’s safety. I also am aware and accept such risks where personal discipline by the minor may prevent and reduce such risks and will be assumed by me. I knowingly and freely assume all such risks, both known and unknown, and however arising, even if arising from the negligence of other participants, staff, employees of Highland Park Church of the Nazarene. I will assume full responsibility of the above listed participant. I agree to assume liability for all medical costs, attorneys’ fees and any and all other expenses and damages resulting from injury to myself and/or the participant(s) listed above associated with this trip/event.
I, for myself and on behalf of my spouse (if any), children, relatives and others hereby release and hold harmless Highland Park Church of the Nazarene and its employees, staff workers, church leadership and officers and all other participants with respect to any and all expenses, medical bills, causes of action, claims, injury, disability, loss and damage to person or property to the fullest extent permitted by law. Medical insurance is not provided by the church.
I agree to hold Highland Park Church of the Nazarene and all its officers, agents, volunteer staff and employees free from liability and negligence in the event the minor stated above suffers personal property injury or personal injury.
I HAVE CAREFULLY READ THE ABOVE PORTION OF THE PERMISSION/WAIVER/RELEASE FORM AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT BY SIGNING THIS PERMISSION/ WAIVER/RELEASE FORM, I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE CHURCH, ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEER STAFF FOR CERTAIN CLAIMS.
PLEASE READ BEFORE SIGNING. THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS AND MAY AFFECT YOUR ABILITY TO BRING A LAWSUIT.
*This represents your electronic signature
General Event / Field Trip Expectations
Please read the following carefully
Highland Park Church of the Nazarene sponsors field trips/events for students as a means or providing a diverse experience with spiritual formation. Field trip/event participants and leaders are expected to conduct themselves in a positive manner as representatives of Highland Park Church of the Nazarene. All students/minors must adhere to, and are responsible for, following instructions, using common sense, and abiding by general rules for behavior as directed by the youth leader/ volunteer staff of Highland Park Church of the Nazarene.
1. Anyone with a history of medical problems should consult a physician prior to the event to ensure he/she is in a condition to make the trip or participate in the event.
2. Any prescriptions or medications required should be in the original container clearly indicating the patient and medication information. Possession of such medication shall be made known to the youth leader/volunteer staff.
3. No drugs or alcohol are permitted on the event. Possession, use, sale, distribution, and transportation of alcohol, and controlled substances, illegal drugs, or drug paraphernalia is prohibited.
4. No firearms, explosives (including fireworks) or other weapons, are permitted on the trip/event.
5. Sexual harassment, sexual misconduct, lewd or indecent behavior, or sexual assault is prohibited conduct.
6. Physical abuse, threats, intimidation, harassment, coercion, and/or other conduct which threatens or endangers the health and safety of any person is prohibited conduct.
7. Failure to comply with a youth leader/volunteer staff’s instruction, or violation of any laws may result in disciplinary action. Students/minor may be discharged from the event and will be responsible for transportation home under these circumstances.
8. Participants in such events are expected to conduct themselves in a manner that will not embarrass the church.
In granting this permission for this trip/event, I assume full responsibility for any damage to person/property caused by my child or ward. Further, I waive any claim for liability against Highland Park Church of the Nazarene, including its employees, officers, and volunteer staff. I understand that Highland Park Church of the Nazarene will take reasonable precaution and care to insure the minor’s safety. I expressly agree that as a result of any disciplinary action by the leader/volunteer staff, my child may be returned home at my expense. I further agree to indemnify Highland Park Church of the Nazarene from any claims or lawsuits brought against Highland Park Church of the Nazarene by myself, my child, relatives, or others that arises out of any behavior by my child on the trip/event described on page one.
BY MY SIGNATURE BELOW, I HAVE CAREFULLY READ AND I HEREBY AGREE TO AND UNDERSTAND ALL OF THE ABOVE ISSUES/CONDITIONS AND DO ACCEPT FULL RESPONSIBILITY ON BEHALF OF THE MINOR.
*This represents the adult/legal guardian's electronic signature
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