Forged Youth Tubing Trip


Event Name: WeTube at Kelly Park

Date: Friday, June 29, 2018

Location: Rock Springs at Kelly Park (400 E Kelly Park Rd, Apopka, FL 32712)

Details: Cool down with Forged Youth at the crystal, clear springs of Kelly Park! Cost is $5 and covers
entrance fee, gas for bus, and tolls. Tube rental is an additional $5-7. Please bring a towel,
sunblock, change of clothes, a lunch and any snacks you might want. We will bring a cooler(s)
with ice and water. If you prefer, you can bring money for lunch at the park’s concession
stand.

SINCE THE PARK FILLS QUICKLY AND SINCE ENTRANCE CLOSES ONCE IT REACHES CAPACITY, WE
NEED TO ARRIVE EARLY. PLEASE BE AT PCH AND READY TO SCOOT NO LATER THAN 7 A.M.

Water shoes and bug spray are strongly suggested.





OR







CONSENT: I am the parent and legal guardian of the minor child named below.  I hereby give permission for my child to attend the WeTube outing to Kelly Park and authorize Presbyterian Church in the Highlands, Inc. (“PCH”) to furnish necessary transportation to and from Kelly Park. I understand that transportation may be provided via vehicles owned and operated by PCH or by vehicles owned and operated by adult volunteers for PCH. I also understand that, in the event of prolonged rain, Jared Edgar and group leaders may make reasonable adjustments and find a nearby mall for activities, lunch, etc.

RELEASE: In consideration of my child being able to participate in the above described activity, I hereby release and agree to hold harmless PCH and its officers, directors, employees, administrators, and agents, including, without limitation, any PCH volunteers, from any and all liability, claims, causes of action, damages and demands whatsoever, including without limitation, any and all claims or causes of action for personal injury, sickness, or death which may be incurred by me or my child resulting from my child’s participation in above described activity, including, without limitation, transportation to and from the excursion.

EMERGENCY AUTHORIZATION: I hereby authorize and appoint Jared Edgar and/or other adult leaders of PCH in whose care my minor child has been entrusted, to arrange for and consent to any emergency or ordinary and necessary medical care or treatment, for my said child as a result of any accident or illness in the event I cannot be located or contacted by the medical treatment provider. I understand and agree that I shall be liable for all costs and expenses incurred in connection with such medical care or treatment rendered to my said child pursuant to this authorization.

DISCIPLINE: I agree that if the subject of this release has to return home for severe discipline violations, it will be at my/our expense.

PHOTO AND VIDEO: I/We consent to the use of any video images or photographs (digital or conventional) that may be taken of the subject of this release during the event to be used for video recaps, in social media, or other appropriate media as PCH sees fit.

Leave this empty:

Signature Certificate
Document name: Forged Youth Tubing Trip
Unique Document ID: 88897205fa8d8228a1eceb8544ea6c923afd7c40
Timestamp Audit
June 4, 2018 3:58 pm EDTForged Youth Tubing Trip Uploaded by Jared Edgar - youth@pchighlands.com IP 47.195.18.248