Hope Church Minor Consent Form

Hope Church Minor Consent Form

We appreciate you filling out this form to keep our records in order. If you run into any issues, please contact our church office at (330) 273-5651. Thank you!

This consent form is intended to cover all onsite and recurring ministry programming weekly on Sundays and Wednesdays from September 2019 through September 2020 for the Hope Kidz and Ignite ministries at Hope Church, on location at 1905 Pearl Road (Brunswick, OH). Hope Kidz and Ignite student ministry programming includes (but is not limited to) indoor and outdoor games, service of snacks (please list any food allergies when registering a child), and lesson demonstrations and activities completed on the Hope Church premises. Off-site events outside of regular Hope Kidz and Ignite programming will require a separate consent form.

Parent/Guardian Information

Image Release

I hereby authorize and give full consent to Hope Church to use on their web site all photographs in which my child appears while involved in the ministries of Hope Church. Hope Church may transfer, use or cause to be used, these photographs on its web site and in other promotional materials (including but not limited to social media pages). No names or personal information will ever be given on the web site or on promotional materials without first securing my permission. If I am signing this agreement on behalf of a minor child, I hereby warrant that I am the legal parent or guardian of the child and that I have the legal authority to sign this agreement on behalf of the child.

Personal Communication Release

I give any approved Ignite volunteer permission to contact my child via text message, email, or social media in forms of Facebook, Instagram, Twitter, etc. This release only applies to students in grades 6-12.

Medical Release

I understand that, in the event of a medical emergency while my child is under the care of Hope Church and its representatives and I am not available, Hope Church will call for emergency medical treatment, I hereby consent to and will be responsible for any reasonable medical treatment as deemed necessary by a licensed physician. I understand that every possible attempt will be made to contact me in the event of an emergency. I agree to hold the physician, medical facility, Hope Church and its representatives free and harmless of any claims, demands or suits for damages arising from the authorization and provision of such medical treatment.

Transportation Release

I understand and grant permission that my child may be traveling in a personal vehicle, 12-passenger van or bus. All drivers are 21 or older and background-checked. This release only applies to students in grades 6-12.

Emergency Contact Information

If I cannot be reached, please contact (must NOT be a parent/guardian):

Medical Provider Information

Communication Signup

Please check the boxes by the communication methods you'd like to receive from us.

I acknowledge that participation in the activity described above involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property damage, and financial damage.

In consideration for the opportunity to participate in Hope Kidz/Ignite ministry programming (the “activity”), the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by Hope Church or its agents, employees, volunteers, or any other representatives (collectively referred to as “Hope Church”). Further, the participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless Hope Church for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise.