Youth Ministry Participation Form
Life Community Church - 4400 Cemetery Rd. Hilliard, OH 43026 - 614.527.9661
June 2018 through August 2019

Permission & Liability Release:
I hereby grant permission for (the Student listed below) to attend any Youth Ministry events being sponsored by Life Community Church, including but not limited to weekly youth group meetings, service projects, or activities on or off site. I understand that there are inherent risks involved in any youth ministry event, athletic event, competition, transportation, or service project.
I will not hold Life Community Church, their employees, or their representatives in any way responsible for any accident, injury, or loss incurred by my child. I agree to defend and indemnify Life Community Church, their employees, and representatives against any claim or action that might arise on behalf of myself or son or daughter other than for willful, or intentional misconduct of said parties.

Medical Release:
Should a medical emergency arise, Life Community Church, its representatives, the event leaders and/or supervisors have my permission to obtain any necessary medical treatment for my child. I agree to maintain financial responsibility for any emergency medical services that may be necessary for my child as a result of his/her involvement in the said events. I agree to cover all costs if my child needs to be sent home for medical reasons.

Media Release:
We take many pictures & videos during youth group events and will be posting them on our website and other church related social media & promotional material. I hereby grant permission to use photos & videos of my son/daughter on Life Community Church media.

Parent / Guardian: my digital signature indicates understanding & agreement to ALL releases and information above *
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