Please add your child(ren)'s information as well as any other adults in your home. Under medical notes for your child, please include any allergies or dietary restrictions.
I hereby authorize any images or video footage of my child/youth (under 19 years of age), in whole or in part, individually or in conjunction with other images and video footage, to be displayed on the Lambrick Park Church website and other social media: YouTube, Facebook, Twitter, Instagram, and to be used for media purposes including print promotional presentation and marketing campaigns. I also authorize the display and use of any media material created by my child/youth within Lambrick Park Church.
I waive rights to privacy and compensation, which I may have in connection with such use of my child’s likeness and first name, including rights to be written copy that may be created in connection with video production, editing and promotion therewith.
I give permission for my child to participate in the Youth programs of Lambrick Park Church.
I understand that I will be notified in the case of a medical emergency. However, in the event my child is injured or becomes ill and I cannot be contacted, I authorize for a doctor to be called and for necessary medical services to be provided. I further agree that I have notified Lambrick's Youth directors in writing (by way of this form) of health information that would restrict my youth's participation in normal youth activities, or would be necessary in the event of a medical emergency.
I understand that at times, organized Lambrick Youth activities involve leaving the church premises. I understand that participating in activities also means assuming responsibility for the risks associated with those activities. I hereby release Lambrick Park Church, its volunteers and employees, from any and all actions and liabilities for injury to person or property arising as a consequence of my youth's participation in activities relating to the Youth program.
