Waiver for Student Participation
July 26, 2025 | Waiver for student participant in Youth 419 activity. Requires parent/guardian and student agreement.
Participant's Name
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Parent/Guardian's Name
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Email
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This address will receive a confirmation email
Phone
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Address
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Participant's grade 25/26 school year
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Parental Permission & Waiver of Liability I, the undersigned parent/guardian of the above-named student, give permission for my child to attend and participate in the Youth Group Swim Party described above. I understand that all reasonable safety precautions will be taken during the event. I acknowledge and accept the risks inherent in swimming and related activities. I hereby release and hold harmless [Name of Church/Organization], its leaders, volunteers, employees, and representatives from any and all liability, claims, or demands for personal injury, illness, accident, or property damage that may occur during or resulting from participation in this activity. In the event of an emergency, I authorize the adult leaders to secure any necessary medical treatment for my child, including calling 911 or transporting them to the nearest medical facility.
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Parent
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Please select all that apply.
I agree
Participant Agreement - I agree to follow the rules, respect leaders and other participants, and behave in a safe and responsible manner during the swim party.
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Participant
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Please select all that apply.
I agree
Submit
Description
July 26, 2025
Waiver for student participant in Youth 419 activity. Requires parent/guardian and student agreement.
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