“FILL OUT ONE FORM PER FAMILY PER YEAR”
Your privacy is important to us; this information is collected simply to help us keep our database up to date. This information will not be shared outside of Springvale.
WAIVER & RELEASE FORM
I/we, the parents or guardians named on this registration, authorize a Springvale Baptist Church Representative or one of the Springvale Baptist Church Ministry Staff to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant(s) named in this registration.
I/we, named on this registration, undertake and agree to indemnify and hold blameless the Ministry Staff, Springvale Baptist Church, its Pastors and Board of Elders from and against any loss, damage or injury suffered by the participant(s) as a result of being part of the activities of Springvale Baptist Church, as well as of any medical treatment authorized by the supervising individuals representing the church.
I/we, named on this registration give Springvale permission to use photographs or videos of any member of my family to use and publish the photographs or videos in print or electronically for any lawful purpose to highlight and promote Springvale Kids/Youth ministries. This undertaking includes the right to modify and retouch the images in the discretion of Springvale Church. This also includes the tagging of youth in social media. I also understand that my child in Springvale Youth may be contacted for ministry purposes via social media.
This consent and authorization is effective only when participating in or travelling to the events of Springvale Baptist Church. I hereby give permission and consent for my child(ren) to be transported for kids/youth activities on behalf of Springvale Baptist Church by the individuals deemed eligible by Springvale Baptist Church.
I have read, understood and agree with the above and sign it to cover all Springvale Kids and Springvale Youth activities for the program year effective September 2021 to August 2022.
Today's Date: May 28, 2022