THE FIRST PARISH IN LINCOLN

PERMISSION FOR CHILDREN AND YOUTH ACTIVITIES AND RELEASE

­­______________________________, has my permission as her/his parent or legal guardian to participate in any and all events and activities sponsored or endorsed by The First Parish in Lincoln during the next twelve (12) months.

I acknowledge that by participating in church sponsored events my child may be involved in activities occurring both on and off church property, taking place during both day and evening hours, occasionally involving overnight stays, requiring transportation by motorized vehicle, involving the preparation and consumption of food and involving the use of tools, chemicals, fire or other materials and objects.  I further acknowledge that by participating in church sponsored events my child may become involved in recreational and sporting activities including but not limited to hiking, climbing, swimming, skiing, basketball, volleyball, baseball and frisbee.

Accordingly, I acknowledge that participation in church sponsored events involves certain dangers and risks, may expose my child to hazards of bodily injury or property damage.

In recognition of these risks and realities and in consideration of my child being offered the opportunity to participate in and benefit from these church sponsored events I agree on behalf of myself and my child to release, waive and disclaim any and all liabilities of or claims against The First Parish in Lincoln, its officers, board members, supervisors, agents, servants, employees and all private persons or organizations volunteering services without charge to transport, supervise or chaperone my child while participating in such church sponsored activities including, but not limited to, any or all liabilities or claims for personal injury, property damage, court costs, attorneys fees and interest, however caused or accrued, as a result of my child participating in the church sponsored events.

In the event my child requires emergency medical attention, and I cannot be reached immediately, I give permission for the First Parish youth leaders to authorize medical attention.

I agree that The First Parish in Lincoln, its officers, board members, supervisors, agents, events and/or employees have the right to terminate the participation of my child in any or all church sponsored activities for failure to behave and act in accordance with the church’s regulations on conduct, for failure to follow the instructions and directions of the activity supervisor(s) and/or chaperone(s), or for any conduct of my child deemed by the church, its officers, board members, supervisors, agents, servants and/or employees, in their sole discretion, to be detrimental to or incompatible with the interest, harmony, comfort or welfare of others or the activity as a whole.

I further agree to indemnify The First Parish in Lincoln, its officers, board members, supervisors, agents, events and /or employees for any and all damage or injury my child may cause to others as a result of his/her participation in the church sponsored events.

___________________________                              _____________________

Parent or Legal Guardian                                                                              Date

___________________________                              _____________________

Name of insurance company                                                          Policy number

___________________________Name of insured