Masters Clubs Walland Permission Slip

Master clubs

Master clubs (walland Elementary) pERMISSION slip

Parents First Name

Childs First Name

Childs Date of Birth

Parents Last Name

Childs Last Name

Date of Permision Slip Fill Out

Phone

Secondary Phone

I the undersigned parent or guardian, hereby consent to my child (childs info given above) being transported to and from Wanlland Elementary located at 247 E Millers Cove Rd, Walland, TN 37886 and Ridgeview Baptist Church, located at 4234 Gamble Lane in a vehicle owned and/or driven by a Kellie Brewster or another licensed member of Ridgeview Baptist Church for purposes of participating in Ambassadors Bible Program.

I give permission to have my child treated in case of medical emergency. In the event of a medical emergency and I cannot be reached, I hereby authorize Ridgeview Baptist Church staff or volunteers, and/or emergency and medical personnel to make emergency medical decisions for my child.

I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL THE RISKS WHICH MAY BE ENCOUNTERED DURING THE TRANSPORTATION THAT WILL BE PROVIDED BY THE PERSON(S) LISTED ABOVE. In consideration of my child being permitted to participate in the event(s) described above and other valuable considerations the receipt of which is acknowledged, I hereby agree to AGREE TO RELEASE, DEFEND, INDEMNIFY, AND HOLD HARMLESS Ridgeview Baptist Church and its agents and employees from any and all past, present, and future, known and unknown liabilities, actions, causes of action, claims, expenses, and damages, INCLUDING THOSE CAUSED BY THE NEGLIGENCE OR FAULT OF THE MINISTRY, ITS LEADERS, EMPLOYEES, OR VOLUNTEERS, and including without limitation, interest, penalties, court costs, attorney's fees and expenses resulting from or on account of injury to myself or my property in connection with any event anticipated by this form. I FURTHER RELEASE any and all claims brought by or through me, including claims for loss of consortium and all similar claims based on relationships with other people. I expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted in the State of Tennessee and that if any portion thereof is held invalid, it is agreed that the remainder shall, notwithstanding, continue in full legal force and effect. I also agree that any controversy or claim, by or through the party signing this release, arising out of or relating to the activities anticipated by this form shall be settled by binding Christian arbitration conducted by the National Center for Life and Liberty or another Christian arbitrator, and judgment on the award may be entered in any court having jurisdiction thereof. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

I FURTHER STATE that I have carefully read the foregoing use agreement and release, and know the contents thereof and I sign this document as my own free act. This is a legally binding agreement which I have read and understand.

I FURTHER AGREE that I will not hold Ridgview Baptist Church acountable for my child (or any other party) filling this form out WITHOUT my permision/knowledge

Your Signature-a typed name indicates a signature

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