Forged Beach Trip Waiver

Event Name: Forged Beach Trip

Date: Thursday, March 28, 2019 (leave at 8 a.m. and return by 7 p.m.)

Location: Siesta Key Beach 948 Beach Rd, Sarasota, FL 34242

Details: Highlight Spring Break by hanging with the Forged Fam at Florida’s BEST Beach! Cost = $5 to help with gas. You can bring a lunch/snacks and/or money for concessions at Siesta Key. Please also bring a beach towel, change of clothes, flip flops, and sunscreen!! Plenty of sunscreen!

I have completed a Medical Information and On-Site Release Form and have filed this with the church office.

CONSENT: I am the participant or parent and legal guardian of the minor child named below.  I hereby give permission for my child to attend the Beach Trip Outing to Siesta Key and authorize Presbyterian Church in the Highlands, Inc. (“PCH”) to furnish necessary transportation to and from Siesta Key. 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 me/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/my child resulting from my/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 me/my minor child has been entrusted, to arrange for and consent to any emergency or ordinary and necessary medical care or treatment, for me/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 me/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: Forged Beach Trip Waiver
Unique Document ID: b20e4b92a20e6f70d33f5b4bcbf72de6aba0cbfe
Timestamp Audit
March 12, 2019 1:58 pm EDTForged Beach Trip Waiver Uploaded by Jared Edgar - IP