Starr King RE Registration and Release

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Release Statement

    The information on this form will be kept confidential within the leadership of the Starr King Unitarian Universalist Church in Hayward (SKUUCH). Participants under the age of 18 must have this form signed by a parent or legal guardian. The term of this agreement shall be for the school year in which the form was signed. 1. The Participant may take part in a Religious Exploration (R.E.) event organized by the Starr King Unitarian Universalist Church in Hayward (SKUUCH). I give my permission for this individual’s participation and I voluntarily sign this release. 2. I hereby release SKUUCH and its respective members, employees, officers, directors, ministers, elders, volunteers and other representatives from any and all claims for injuries, death, losses, or damages the participant might have on or in any way relating to such SKUUCH R.E. event. 3. I hereby give SKUUCH by and through its employees and/or representatives who are involved in the R.E. event with the Participant, permission to authorize emergency medical and/or hospital treatment for the benefit of the Participant in the event of sickness or injury sustained by the Participant during the SKUUCH, R. E. event when the Parent/Guardian is not present. I ask that SKUUCH contact me at the phone number on this form in the event of emergency. 4. I hereby grant full permission to SKUUCH to use any photographs, videotapes, motion pictures, recordings, or other records or documents of the SKUUCH, R.E. event and to do so without notice or compensation to the Participant or Parent/Guardian. 5. I further agree that this Release Agreement is binding upon the Participant’s relatives, heirs, executors, administrators, assigns and legal representatives; that this Release Agreement releases all successors, assigns and legal representatives of SKUUCH. 6. I acknowledge that SKUUCH has encouraged me to read the Release Agreement carefully before signing. I understand the Release Agreement and I have not relied on any other statement, comment or promise by SKUUCH or Releasees in signing this Release Agreement.
    This is a required question
    This is a required question
    This is a required question