Thanksgiving Wednesday WeServe

Event Name: Thanksgiving Wednesday WeServe

Dates: Wednesday, November 27, 2019

Location: Wednessday: Eloise Community Resource Center
710 Snively Ave., Eloise (Winter Haven), FL 33880.

Details: Say thanks, in a different way, with us this next week by serving the least of these by helping to prep, set up for the Thanksgiving Outreach at the Eloise Resource Center. We’ll unload food/supplies into the Resource Center, package desserts, package cranberry sauce, set up tables, hang signs, etc. We will hit Chick-fil-A for Lunch and will return to PCH no later than 3 p.m. (we will call if we are finished early).

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 Thanksgiving Wednesday WeServe outing to the Eloise Community Resource Center and authorize Presbyterian Church in the Highlands, Inc. (“PCH”) to furnish necessary transportation to and from the Resource Center (Eloise/Winter Haven) and Chick-fil-a. 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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Presbyterian Church in the Highlands
Signature Certificate
Document name: Thanksgiving Wednesday WeServe
Unique Document ID: a9f626089e82240c54eda222577377f1307471f1
Timestamp Audit
August 22, 2019 3:41 pm EDTThanksgiving Wednesday WeServe Uploaded by Jared Edgar - IP