Faith Warrior Kids Release Form

Photography/Media Release

By my child attending North Georgia Worship Center's Faith Warrior Kids class, I authorize that my child’s image may be photographed, filmed, and be used in video, print, and web presentations.

Liability Release

I hereby take the following action for my child, myself, my executors, administrators, heir, next of kin, successors and assigns: A) I waive, release, and discharge from any and all claims or liabilities for death or personal injury damages of any kind, which arise out of or relate to my child’s participation in North Georgia Worship Center activities, the following person, or entities: North Georgia Worship Center, it’s Lead Pastor(s) and Associate Pastors, Council Members, employees, volunteers, representatives, subcontractors and agents of any of the above: B) I agree not to sue any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein except in the case of gross negligence on the part of  North Georgia Worship Center, North Georgia Worship Center staff or volunteers and: c) I indemnify and hold harmless the person or entities mentioned above from any claims made or liabilities assessed against them as a result of my child’s actions. I hereby assume the risks of my child participating in all North Georgia Worship Center Faith Warrior Kids functions and activities.

Medical Release

I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat the minor named herein for the purpose of attempting to treat or relieve any injury received by said minor. I authorize any such Medical Provider to perform all procedures deemed medically advisable in attempting to treat or relieve any such injuries. I consent to the administration of anesthesia as deemed advisable. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself and said minor. I understand that attempts will be made to contact me in the most expeditious way possible. Permission is also granted to a North Georgia Worship Center representative to provide the needed emergency treatment to the student prior to his/her admission to a medical facility.

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