Annual Student Waiver 2025 Name(Required) First Last PhoneEmail I am/ or my student is 18 years or older.(Required) Yes No Parent/ Legal Guardian Name(Required) First Last Parent/ Legal Guardian Phone(Required)Parent/ Legal Guardian Email(Required) Consent for Minor Annual Student Waiver 2025(Required) By checking this box I agree to the terms set forth in the Waiver below and confirms that I have read this information, understand it, and agree to be bound by it, and that my signed name below constitutes my legal digital signature.WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT FOR ANNUAL STUDENT MINISTRY AND OTHER CHURCH RELATED ACTIVITIES This Waiver, Release, and Indemnification Agreement (the “Agreement”) is entered into as of the date signed below by the undersigned parent(s) or legal guardian(s) (“Parent/Guardian”) of the minor participant (the “Participant”) for the benefit of Christ Fellowship (the “Church”), its affiliates, officers, employees, agents, volunteers, representatives, and assigns (collectively, the “Released Parties”). By signing this Agreement, the Parent/Guardian consents to the Participant’s participation in the Church’s student ministry activities (“Activities”) for the calendar year dated below, and agrees to the terms and conditions set forth herein. I. SCOPE This Agreement applies to all Church-sponsored activities throughout the calendar year listed below, including but not limited to: overnight camps, retreats, recreational programs, mission trips, transportation to and from events whether provided by the Church or by individuals, and all other activities organized for the purposes of student engagement and growth whether held on church property or off church property. This Agreement shall remain in effect for the duration of the calendar year in which it is signed. A new Agreement must be signed annually for continued participation in the activities. II. ACKNOWLEDGEMENT AND ASSUMPTION OF RISK The Parent/Guardian acknowledges and understand that participation in the activities involve inherent risks, including but not limited to: physical injuries, illness, accidents during recreational or overnight stays, transportation-related risks, unforeseen conditions on property or at facilities where activities are being held, emotional risks, risks of medical complications, and other emergencies. The Parent/Guardian acknowledges that while the Church will make reasonable efforts to provide a safe environment, some risks are unavoidable. By signing this Agreement, the Parent/Guardian voluntarily assumes all such risks on behalf of the participant and agrees that participation is entirely voluntary. III. RELEASE, WAIVER OF LIABILITY, AND INDEMNIFICATION The Parent/Guardian, on behalf of the participant and themselves, fully release and discharge the Released Parties from any and all liability, claims, demands, caused of action, damages, and expenses (including attorney’s fees) arising from or relating to participation in the activities. This release includes, but is not limited to: injuries, property damage, loss sustained during activities, emotional stressors in relation to participation, and incidental or consequential damages resulting from participation. The Parent/Guardian agrees to defend, indemnify, and hold harmless the Released Parties from any claims, causes of action, liabilities, or costs arising from: special, incidental or consequential damages, injury or loss caused by participant’s participation in the activities to others, parent/guardian’s breach of representations or obligations under this Agreement, and claims made by participant or their estate against the Released Parties. IV. MEDICAL CONSENT AND EMERGENCIES The Parent/Guardian hereby consents to the provision of first aid or emergency medical treatment for the participant in the event of illness or injury during the activities. In the event of an emergency and when the parent/guardian cannot be contacted, the undersigned Parent/Guardian authorizes a representative of the Church to consent to medical care for the Participant. The Parent/Guardian authorizes Church representatives to act as the Participant’s “personal representative” and to be treated as the Parent/Guardian would for all purposes of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and shall (1) have access to all of the Participant’s “individually identifiable health information,” including any “protected health information,” (2) possess, without limitation, the Parent/Guardian’s right of access to inspect and obtain a copy of protected health information about the Participant and (3) possess, without limitation, the Parent/Guardian’s right to an accounting of disclosures of protected health information. This authority hereby granted applies to any information governed by HIPAA. This grant of authority is limited to the time until the Parent/Guardian can be contacted, at which point the Church representative shall cease to be the Participant’s personal representative. It is understood that this authorization is given in advance of any special diagnosis, treatment, or hospital care being required, but it is given to provide authority and power on the part of the supervisor/church representative in the exercise of best judgment for the Participant’s care, upon advice by physician or other medical professional. The Church does not assume financial responsibility for medical treatment or related costs. The Parent/Guardian is encouraged to ensure the Participant is covered by adequate health insurance. If covered by health insurance, the Parent/Guardian agrees to provide insurance card and information in advance, should it ever be needed. V. PARTICIPANT CONDUCT The Parent/Guardian acknowledges that the Participant is required to adhere to all rules, regulations, and codes of behavior set forth by the Church. These rules are, but not limited to: respect for other participants, staff, and property, compliance with safety instructions and guidelines, and prohibition of unsafe or inappropriate behavior. Any violation of such rules may result in disciplinary action, including removal from the Activity at the discretion of the Church. VI. PHOTOS, VIDEOS, MOTION PICTURES, AND RECORDINGS The Parent/Guardian grants full permission to the Church to use any photos, videos, motion pictures, recordings, and any other records or documents of the Activities. No notice is required to be given to the Parent/Guardian and the Parent/Guardian will not be compensated for use of the photo for any purpose. VII. COST AND EXPENSES The Parent/Guardian assumes full responsibility for payment of the published and announced cost of the Activities and agrees to pay that specified amount or any outstanding balance upon request by the Church. The Parent/Guardian assumes responsibility for any additional costs and expenses incurred by the Participant during the Activities, including but not limited to: costs associated with medical care and other emergencies. VIII. GOVERNING LAW This Agreement shall be governed by and constructed in accordance with the laws of the State of Tennessee. Any dispute arising from or related to this Agreement or the Activities shall be exclusively handled by the courts located in Tennessee. IX. ACKNOWLEDGEMENT AND SIGNATURE By signing below, the undersigned certifies that they are a parent/guardian of the Participant. The undersigned acknowledges that they have carefully read, understand this Agreement, and agree to its terms and conditions voluntarily and without reservation. The undersigned attest that the Participant is physically and mentally capable of participating in the Activities outlined in this Agreement.Parent / Legal Guardian Signature(Required)Consent for Adult-Student CF Annual Waiver(Required) By checking this box I agree to the terms set forth in the Waiver below and confirms that I have read this information, understand it, and agree to be bound by it, and that my signed name below constitutes my legal digital signature.WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT FOR ANNUAL STUDENT MINISTRY AND OTHER CHURCH RELATED ACTIVITIES This Waiver, Release, and Indemnification Agreement (the “Agreement”) is entered into as of the date signed below by the undersigned parent(s) or legal guardian(s) (“Parent/Guardian”) of the minor participant (the “Participant”) for the benefit of Christ Fellowship (the “Church”), its affiliates, officers, employees, agents, volunteers, representatives, and assigns (collectively, the “Released Parties”). By signing this Agreement, the Parent/Guardian consents to the Participant’s participation in the Church’s student ministry activities (“Activities”) for the calendar year dated below, and agrees to the terms and conditions set forth herein. I. SCOPE This Agreement applies to all Church-sponsored activities throughout the calendar year listed below, including but not limited to: overnight camps, retreats, recreational programs, mission trips, transportation to and from events whether provided by the Church or by individuals, and all other activities organized for the purposes of student engagement and growth whether held on church property or off church property. This Agreement shall remain in effect for the duration of the calendar year in which it is signed. A new Agreement must be signed annually for continued participation in the activities. II. ACKNOWLEDGEMENT AND ASSUMPTION OF RISK The Parent/Guardian acknowledges and understand that participation in the activities involve inherent risks, including but not limited to: physical injuries, illness, accidents during recreational or overnight stays, transportation-related risks, unforeseen conditions on property or at facilities where activities are being held, emotional risks, risks of medical complications, and other emergencies. The Parent/Guardian acknowledges that while the Church will make reasonable efforts to provide a safe environment, some risks are unavoidable. By signing this Agreement, the Parent/Guardian voluntarily assumes all such risks on behalf of the participant and agrees that participation is entirely voluntary. III. RELEASE, WAIVER OF LIABILITY, AND INDEMNIFICATION The Parent/Guardian, on behalf of the participant and themselves, fully release and discharge the Released Parties from any and all liability, claims, demands, caused of action, damages, and expenses (including attorney’s fees) arising from or relating to participation in the activities. This release includes, but is not limited to: injuries, property damage, loss sustained during activities, emotional stressors in relation to participation, and incidental or consequential damages resulting from participation. The Parent/Guardian agrees to defend, indemnify, and hold harmless the Released Parties from any claims, causes of action, liabilities, or costs arising from: special, incidental or consequential damages, injury or loss caused by participant’s participation in the activities to others, parent/guardian’s breach of representations or obligations under this Agreement, and claims made by participant or their estate against the Released Parties. IV. MEDICAL CONSENT AND EMERGENCIES The Parent/Guardian hereby consents to the provision of first aid or emergency medical treatment for the participant in the event of illness or injury during the activities. In the event of an emergency and when the parent/guardian cannot be contacted, the undersigned Parent/Guardian authorizes a representative of the Church to consent to medical care for the Participant. The Parent/Guardian authorizes Church representatives to act as the Participant’s “personal representative” and to be treated as the Parent/Guardian would for all purposes of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and shall (1) have access to all of the Participant’s “individually identifiable health information,” including any “protected health information,” (2) possess, without limitation, the Parent/Guardian’s right of access to inspect and obtain a copy of protected health information about the Participant and (3) possess, without limitation, the Parent/Guardian’s right to an accounting of disclosures of protected health information. This authority hereby granted applies to any information governed by HIPAA. This grant of authority is limited to the time until the Parent/Guardian can be contacted, at which point the Church representative shall cease to be the Participant’s personal representative. It is understood that this authorization is given in advance of any special diagnosis, treatment, or hospital care being required, but it is given to provide authority and power on the part of the supervisor/church representative in the exercise of best judgment for the Participant’s care, upon advice by physician or other medical professional. The Church does not assume financial responsibility for medical treatment or related costs. The Parent/Guardian is encouraged to ensure the Participant is covered by adequate health insurance. If covered by health insurance, the Parent/Guardian agrees to provide insurance card and information in advance, should it ever be needed. V. PARTICIPANT CONDUCT The Parent/Guardian acknowledges that the Participant is required to adhere to all rules, regulations, and codes of behavior set forth by the Church. These rules are, but not limited to: respect for other participants, staff, and property, compliance with safety instructions and guidelines, and prohibition of unsafe or inappropriate behavior. Any violation of such rules may result in disciplinary action, including removal from the Activity at the discretion of the Church. VI. PHOTOS, VIDEOS, MOTION PICTURES, AND RECORDINGS The Parent/Guardian grants full permission to the Church to use any photos, videos, motion pictures, recordings, and any other records or documents of the Activities. No notice is required to be given to the Parent/Guardian and the Parent/Guardian will not be compensated for use of the photo for any purpose. VII. COST AND EXPENSES The Parent/Guardian assumes full responsibility for payment of the published and announced cost of the Activities and agrees to pay that specified amount or any outstanding balance upon request by the Church. The Parent/Guardian assumes responsibility for any additional costs and expenses incurred by the Participant during the Activities, including but not limited to: costs associated with medical care and other emergencies. VIII. GOVERNING LAW This Agreement shall be governed by and constructed in accordance with the laws of the State of Tennessee. Any dispute arising from or related to this Agreement or the Activities shall be exclusively handled by the courts located in Tennessee. IX. ACKNOWLEDGEMENT AND SIGNATURE By signing below, the undersigned certifies that they are a parent/guardian of the Participant. The undersigned acknowledges that they have carefully read, understand this Agreement, and agree to its terms and conditions voluntarily and without reservation. The undersigned attest that the Participant is physically and mentally capable of participating in the Activities outlined in this Agreement.Signature (must be signed by person attending)(Required)CAPTCHA