AGREEMENT FOR MEDIA RELEASE
I grant my permission for Westminster staff or designated adult volunteers to photograph and film me during Westminster activities and trips, understanding that my 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
As an adult volunteer, I agree to keep a record of written communication with any youth (e.g. save emails, cell providers can access texts). I agree to avoid private messaging any youth via my personal social media accounts unless first contacted by Youth (e.g. DMs). I understand that Westminster staff and volunteers may NOT participate in image or video messaging with any youth over social media (e.g. Snapchat). I agree that all communication with youth will abide by the Westminster Child Protection Policy and follow the direction of the Westminster Session, pastors, and staff. I am always welcome to copy or include the Youth Pastor/Director to ensure transparency, and should I ever feel unsure or uncomfortable about communication with a youth, I will send written copy to the Youth Pastor/Director and discuss with them how to proceed.
AGREEMENT FOR MEDICAL TREATMENT
In the event of injury, illness, or medical emergency, if I am unable to make medical decisions and my emergency contact cannot be reached, I hereby authorize the Westminster staff and chaperones to procure any medical attention they consider necessary and expedient for me.
I agree to pay for all expenses incurred for medical attention I receive while participating in any Westminster Presbyterian Church-sponsored activity.
I understand that it is my responsibility to provide medical coverage for myself and agree to notify Westminster and relevant staff if and when our medical coverage changes. I also understand that Westminster staff reserve the right to restrict me 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 ("Chaperone") desires to participate in programs and activities sponsored by the Westminster Youth Program. For Westminster to permit the participation of the Chaperone 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 I participate at my own risk and assume full responsibility for personal injury and property damage I may sustain while participating in such programs.
2. I shall not hold liable Westminster Session, pastors, directors, employees, 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 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 not to sue or make a claim against the released parties for injury, damage, or loss sustained as a result of my 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 me or on my behalf.
5. Westminster strongly recommends that I consult my 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 will not become infected with COVID-19. Further, attending Westminster activities or trips may increase the risk of you and/or your 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 and/or 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.