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VBS Waiver

IMPORTANT: THIS DOCUMENT CONTAINS A RELEASE OF LIABILITY. YOU ARE ADVISED TO REVIEW IT CAREFULLY.

August 7, 2024

We realize that no activity is without the possibility of unforeseen hazards that could result in injury to an individual. As a parent or guardian, you are to be aware of your responsibility to instruct your child of the importance of conduct which will insure safety and an enjoyable time while participating in this activity. By signing this form, you, as a parent, guardian or other responsible party agree to assume the risks and hazards which are inherent in this kind of activity.

Release of Liability

I hereby give permission for my Child to attend and participate in VBS. Prior to my Child’s involvement in VBS activities, I acknowledge that my child's involvement may involve risk of property damage and of personal injury, illness or even death, including but not limited to the risks arising from recreational activities, accidents in and around facilities, adverse weather conditions, and injuries and illness as a result of food-borne illnesses and allergic reactions. By signing this Parental Consent and Release of Liability, I state that my Child is fully capable of safely participating in all VBS activities, and I expressly assume all risks of my Child’s involvement, whether such risks are known or unknown to me at this time. I further generally release Calvary Chapel Honolulu, including their employees, volunteers and other participants at VBS, from any and all claims that I or my Child may have against any of them, whether on or off the Calvary Chapel Honolulu campus. This Release of Liability is given on behalf of myself, my Child, and any heirs, family, estate, administrators, and personal representatives of me and my Child. I expressly agree that this Release is intended to be as broad and inclusive as permitted by the State of Hawaii.

Consent to Medical Treatment

I hereby give my consent that my Child may receive medical treatment that may be deemed advisable in the event of injury, accident and/or illness during VBS. List any medical or food allergies of Participant (please write “None” if applicable):

By signing this form, I agree to absolve and hold harmless the sponsoring organizations (Calvary Chapel Honolulu) and their representatives for damage, loss or injuries to my child.
As parent/guardian, I agree to assume the risks and hazards which are inherent in recreational activities my child may participate in.
I give my child permission to participate in this activity, and give my permission to the leaders of this function to authorize any treatment deemed necessary by a licensed physician due to accident or illness during this activity.
I further give my permission for the use of any photo or likeness of my child to be used by the sponsoring organizations for their use in promotional materials.

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June 14, 2023 5:19 pm HST

VBS Waiver Uploaded by Calvary Chapel Honolulu - e-signatures@calvarychapelhonolulu.com IP 67.53.47.4