The safety of your Youth is our primary concern. Precautions will be taken for their well-being & protection.
I/we, the Parents or guardians named above, authorize one of Russell Alliance Church Children/Youth Program Personnel to sign a consent for medical treatment and authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.
I/we, named above, undertake and agree to indemnify and hold harmless Program Personnel, Russell Alliance Church, and its leaders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Russell Alliance Church, as well as of any medical treatment authorized by the supervising individuals representing Russell Alliance Church. This consent and authorization is effective only when participating in or traveling to events sponsored by Russell Alliance Church.
Purposes and Extent
Russell Alliance Church is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to assign your child to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at Russell Alliance Church. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Russell Alliance Church to limit the information collected, or to view your child’s information, please contact us.
Parent/Guardian Options
I have read, understood and agree with the above and sign it to cover all Children’s Program activities for the program year effective as stated above. A separate Informed Letter of Consent will be sent home for off-site activities and activities of elevated risk.