Youth Ministry Event Waiver

Event Name: Indoor Rock Climbing

Date: Sunday, December 2, 2018

Location: Aiguille Rock Climbing Center 999 Charles St, Longwood, FL 32750

Details: Climb with us THIS SUNDAY and experience the ultimate in team-building. We’ll meet at PCH at 1 p.m. (please eat lunch or bring it with you) and leave shortly thereafter to head over to Orlando. Cost for climbing is $20 and includes your climbing pass and harness. Please wear comfy clothes (shorts recommended) and tennis shoes. You MAY rent climbing shoes for an additional $5. We will return by 6:30 p.m.

IMPORTANT! All climbers must complete a climbing waiver with Aiguille. If this is your first time and you are a minor, your parent must complete the waiver online AND the same parent who completes the waiver must send you with a copy of his/her driver license.

You can access Aiguille’s climbing waiver here.


CONSENT: I am the parent and legal guardian of the minor child named below.  I hereby give permission for my child to attend the Indoor Rock Climbing outing and authorize Presbyterian Church in the Highlands, Inc. (“PCH”) to furnish necessary transportation to and from Aiguille Rock Climbing Center in Longwood, FL. 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.

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.

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Signature Certificate
Document name: Youth Ministry Event Waiver
Unique Document ID: 85fa6d9ed8bad61ea96427971874fa5ceb41c364
Timestamp Audit
November 27, 2018 2:42 pm ESTYouth Ministry Event Waiver Uploaded by Jared Edgar - IP