HRC Youth Permission Slip

I, the parent/guardian of the minor child listed on this application, for ourselves, our heirs, executors and administrators, hereby release, waive, acquit and forever discharge the House of Restoration Church of Hartford, and the Youth Ministry, their representatives, successors, insurers, assigns or any other person or entity associated with any of the above organizations such as staff, directors, interns, or volunteers, from all liability, claims, demands, or causes of action for any and all loss, damage, injury or death any claim of damages resulting from use of facilities owned or controlled by the above organizations, or participation in activities of said organizations either at or away from House of Restoration Church and the Youth Ministry.

I give permission to the House of Restoration Church and the HRC Youth Ministry to seek emergency medical treatment for my minor child if I cannot be reached. I will be responsible for any/all costs of medical attention and treatment.

I understand that the House of Restoration Church and the HRC Youth Ministry is not responsible for lost or stolen items. Parents and participants are responsible for their own transportation to and from the church.