I,(guardian named in form), the parent/guardian of my child, (student named in form), give permission for my child to attend (event named in form).
I understand that personal injury can and may occur to my child, and I hereby authorize Nick Harper, Student Director, or another appointed youth advisor, to seek and consent to emergency medical attention for my child as needed; and I further agree to be liable for and to pay all costs incurred in connection with such medical attention.
I hereby release Creative Dreams Outreach Center, its employees, agents, or volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage, or injury (including death) that may be sustained by my child while participating in or traveling to and from this event.
The following is all of the insurance information, restrictions, allergies, and medication information necessary for my child to receive appropriate medical care:
EMERGENCY CONTACT INFORMATION
I give permission for my child to ride in any vehicle designated by Creative Dreams Outreach Center, its employees and adult volunteers, while participating in and traveling to and from this event.
I agree to accept full responsibility, financially or otherwise, for any damage my child may do to property of Creative Dreams Outreach Center, properties visited on outing, other’s personal property, or vehicles used for transportation.
By clicking “I AGREE” at the bottom of this form I agree and consent to all of the above stated.