Liability Release Form

Release of All Claims
First, we’d like to thank you for participating in Cove Student Ministries. Please take a few minutes to look over this form. If you have any questions please refer them to the church office at 704-655-3000.
In consideration for being accepted by The Cove Church for participation in the Cove Student Event, I, the parent/guardian of the above named student and on behalf of my child-participant, do hereby release, forever discharge and agree to hold harmless The Cove Church and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in Cove Students events.
We (I) also consent to the use by The Cove Church of the image, voice or both of the minor child described below in video, photograph or audio recordings of Cove Kids / Cove Students events, regardless of whether these materials are used for adverting, publicity, fundraising or other purposes on behalf of The Cove Church.
Furthermore, I hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein.
Further, authorization and permission is hereby given to said church to furnish any necessary transportation, food and lodging for this participant.
The undersigned further hereby agree to hold harmless and indemnify said church, its directors, employees and agents, for any liability sustained by said church as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.
(If the participant has not attained the age of 18 years)
We (I) are the parent(s) or legal guardian(s) of this participant, and hereby grant our (my) permission to take said participant to a doctor or hospital and authorize medical treatment, and assume the responsibility of all medical bills, if any.
Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, we (I) hereby assume all transportation costs. I have read the foregoing and understand the rules of conduct for participants and will abide by them as well as the directions of the leadership of Cove Kids (CK) and/or Cove Student (CS) events.

Medical Release

We, the parent(s) or guardian(s) of the above maned student a minor, do hereby authorize adult workers of Cove Student at The Cove Church agents for the undersigned, to consent to any examinations, x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is rendered under the general or special supervision of any physician or surgeon licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.

BEHAVIOR WAIVER

I, the above named parent or guardian of the above named student, take all responsibility for my child during the event.
In the event of any personal or property damage done by my child, I understand that I am completely, morally, and financially responsible.
This includes:

Negligent physical harm or injury inflicted to another individual by my child.
Property damage to any and all objects done by my child.
Transportation expense home for my child due to early dismissal from said event for use or possession of alcohol, cigarettes, cigars, any tobacco, non-prescription drugs, inhalants, pornographic materials, and all “R” rated or occult related music.
Transportation expense home for my child due to their inability to gain personal control over any actions that may cause injury to oneself or another.
Transportation expense home for my child due to their causing excessive and persistent disruption to the entire group on said event.
Transportation expense home for my child for trespassing on neighbor’s property, leaving the said event grounds, using a vehicle without permission.

All dismissal decisions are at the discretion of the director. In the event that damage is caused by more than one child, equal responsibility is taken by all involved. When responsibility for damage is not claimed, all those closely related will share in responsibility and expense (example: room damage unaccounted for = all room members share responsibility).
All final decisions are the responsibility of the director after discussion with all volunteer adults involved. It is not our desire to ever send a student home and we will do all we can to work with you, the parent, in impacting your teen positively. When any serious problem arises you will receive a phone call so that the matter can be discussed and the proper action taken.
I also consent for my child’s picture being taken and used for promotional material in the future.
By signing you also agree to observe all the rules stated above and you will be on time for all said events.

Cove Student Worship Night & Lock-in Experience