CHCC Elementary - Grades 4-5
February 22 - 23, 2018
CHCC Liability and Medical Release
My child who is listed above has my approval to participate in SuperStart 2019 with College Heights Christian Church. In the event of a medical emergency I give my permission to the health care professional selected by one of the sponsors to do what is necessary for my child. I hereby release the church from any responsibility other than normal supervision and care. In case of an accident, I will not hold College Heights Christian Church or its sponsors liable.
I give my permission to College Heights Christian Church to use my child's image in photos or videos that may be posted online or in print for ministry related purposes without notifying me or my child or giving us any monetary compensation.
I, the parent or legal guardian of the participant listed on this form, certify that he/she has my full approval to participate in SuperStart 2019 with College Heights Christian Church. The individual identified on this form understands that all participants are required to abide by the Program rules and be directly responsible to the College Heights Christian Church minister. The minister assumes responsibility for discipline at the Program and, if necessary, may, because of misconduct or disobedience, require a participant to leave. In such instance, I will assume full responsibility and any monetary expenses for returning the participant home.
If your child develops a high fever, we will make every effort to contact you immediately. If we are not able to contact you quickly, can we give your child over-the-counter medication such as children's Tylenol or ibuprofen if we are not able to contact you for permission?
By signing my full legal name below I agree that the information above is, to the best of my knowledge, true and complete and agree to any terms stated above.