I, being the parent(s) or legal guardian(s) of the child listed on this form, give permission for my child to participate in the activities of The Hub Teen Center (“The Hub”), including, but not limited to, religious teaching, Christian movies, Christian music and all the learning of Bible verses; playing basketball, dodgebee/dodgeball, physical active games; crafts and the like. I have listed above all known allergies to food, medicine and noted special needs.
I do release and agreed to hold harmless The HUB, HUB volunteers/workers, their respective church(es) and program workers from any and all liability, claims or demands for personal injury, as well as damage and expenses of any nature, including the child’s property, that may be incurred by the parent/guardian and child-participant that occur while the child is at The HUB/or participating in activities at The HUB. We, on behalf of our child-participant, assume all risk of personal injury, damage and expands as the result of participation in activities involved. If said child damages property at The HUB, we will fully reimbursed The HUB for the damaged property. We give our permission for The HUB volunteers to make decisions regarding rendering care for minor scrapes, cuts, bumps/bruises; rendering urgent medical care as necessary and/or seeking medical treatment, calling an ambulance to take said participant to a doctor or hospital and authorize medical treatment, including but not limited to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any. We understand that we will be contacted if at all possible.
We grant permission for use of a photographs/video that includes our child for promotional purposes.
