AGREEMENT FOR PARTICIPATION
I grant my permission for my legal dependent ("Youth"), named in the "Participant Information" section of this form, to travel to and from and to participate in Westminster Presbyterian Church trips and activities, under the direction of the Westminster Session, staff, and volunteer youth advisors, from September 1, 2021 to August 31, 2022.
I grant my permission for Westminster staff or designated adult chaperones to transport my Youth for youth trips and activities. All activities will follow the Child Protection Policy set forth by Westminster Presbyterian Church.
AGREEMENT FOR MEDIA RELEASE
I grant my permission for Westminster staff or designated adult volunteers to photograph and film my Youth during Westminster activities and trips, understanding that my Youth's image may be used in promotional materials or otherwise published in print or digital form. Note that names will not be used with any image or likeness in church-related publications or on the website unless special permission is sought and received.
If I wish to revoke this media permission, I will directly email the Youth Pastor/Director and current Program Assistant (Jessica Thurnes) with any additional specifications.
AGREEMENT FOR CONTACT IN MINISTRY
I grant my permission for Westminster staff or designated adult volunteers to contact my Youth by mail, email, phone, texting, and Westminster social media accounts as needed in their ministry to my Youth. Staff and adult volunteers will keep a record of written communication with my Youth (e.g. email and cell phone text records) and avoid contacting any Youth via personal social media accounts unless first contacted by Youth. No Westminster staff or volunteers will participate in image or video messaging with any Youth over social media (e.g. Snapchat). All communication will continue to abide by the Westminster Child Protection Policy and follow the direction of the Westminster Session, pastors, and staff.
If I wish to revoke this contact permission, I will directly email the Youth Pastor/Director and specify how I would like Youth staff and volunteers to communicate with my Youth.
AGREEMENT FOR MEDICAL TREATMENT
As this Youth's legal guardian, if I cannot be contacted in the event of injury, illness, or medical emergency, I hereby authorize the Westminster staff and chaperones to procure any medical attention they consider necessary and expedient for my Youth.
I agree to pay for all expenses incurred for medical attention given to Youth while participating in any Westminster Presbyterian Church-sponsored activity.
I understand that it is my/our responsibility to provide medical coverage for Youth and agree to notify Westminster and relevant staff if and when our medical coverage changes. I also understand that Westminster staff and volunteers reserve the right to restrict my Youth from any activity that they feel is not within their physical, mental, or emotional capabilities at a given time.
AGREEMENT TO WAIVE LIABILITY
Westminster Presbyterian Church (hereafter referred to as "Westminster"), 2701 Cameron Mills Road, Alexandria, Virginia, 22302, is a non-profit church organization and a member church of the Presbyterian Church (USA). The undersigned ("Guardian") is the parent or legal guardian(s) of ("Youth") and desires the Youth to participate in programs and activities sponsored by the Westminster Youth Program. For Westminster to permit the participation of the Youth in such programs, I hereby agree to the following:
1. I acknowledge that there are potential dangers in participating in all programs sponsored by the Westminster Youth Program, including traveling to and from mission sites and working at mission sites. Thus, I agree that the Youth participate at Youth's own risk and assume full responsibility for personal injury and property damage sustained by the Youth while participating in such programs.
2. I shall not hold liable Westminster Session, pastors, directors, employees, youth advisors, chaperones, volunteers, or other agents ("Released Parties"), nor shall I hold them harmless for any claims, demands, injuries, damages, actions, or cause of actions by others in the course of or resulting from my Youth's participation in Westminster events and activities.
3. I hereby expressly forever release and discharge Released Parties from all such claims, demands, injuries, damages, actions, or causes of action, and from all acts of passive or active negligence on the part of Released parties.
4. I agree, on my behalf and on behalf of the Youth, not to sue or make a claim against the released parties for injury, damage, or loss sustained as a result of the Youth's participation in the Westminster trips or activities. I agree to indemnify, defend, and hold harmless the Released Parties from all claims, judgments, and costs, including attorney's fees, incurred in connection with any action brought by or on behalf of the Youth and/or the undersigned.
5. Westminster strongly recommends that Guardian and/or Youth consult their health/medical insurance policy to determine whether they have adequate health and medical coverage.
6. The foregoing agreements shall extend to all programs and activities of the Westminster Youth Program, September 1, 2021 through August 31, 2022.
AGREEMENT TO WAIVE COVID LIABILITY
Westminster Presbyterian Church has enacted preventative measures suggested by the Centers for Disease Control and Federal, State, and Local Government to reduce the spread of COVID-19. However, Westminster cannot guarantee that you or your Youth will not become infected with COVID-19. Further, attending Westminster activities or trips may increase the risk of your Youth and Youth's family contracting COVID-19. By signing this agreement, I agree to follow Westminster COVID-19 protocols. I acknowledge the highly contagious nature of COVID-19 and voluntarily assume the risk that I, my Youth, and my family may be exposed to or infected by COVID-19 by participating in Westminster activities and trips. I also acknowledge the risk that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand the risk of becoming exposed to or infected by COVID-19 at Westminster activities and trips.
PLEASE READ CAREFULLY - THIS RELEASE AND WAIVER IS A LEGAL DOCUMENT.
BY SIGNING THIS WAIVER, I CERTIFY THAT I HAVE CAREFULLY READ ALL THESE AGREEMENTS AND AGREE TO THEIR TERMS.