Waiver - Permission Slip and Liability Waiver for Activities & Events
Name of Activity or Event
Teen's First Name (write multiple names, if there are more than one in a family)
Teen's Last Name
I, as parent or legal guardian, by electronically signing my name and clicking agree, do hereby give permission for my teen named above to attend the above-mentioned activity/event. I also do hereby grant the Church of Christ volunteers present the right to authorize emergency medical treatment for my teen in the event that I or my designated representative cannot be reached. I agree to hold harmless the Church of Christ and its agents from liability arising out of accident situations. The State of Ohio Good Samaritan Law will apply.
Electronic signature (Sign full name)
Agree with the Above Statement
Disagree with the Above Statement
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