Minor Participation Authorization and Consent to Emergency Medical Treatment Form (2025-2026)

I recognize that there are risks involved in participating in these activities and hereby assume all risk of injury, harm, damage, or death to my minor child(ren) in connection with his/her/their participation in these activities. To the fullest extent permitted by law, I release Cascade Fellowship Christian Reformed Church, its trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death which may occur to my minor child(ren) while participating in the activity and agree to save and hold harmless Cascade Fellowship Christian Reformed Church, its trustees, officers, directors, employees, agents and representatives from any claims arising out of my minor child(ren)’s participation in the activity.

Further, being the parent or legal guardian of the minor child(ren), I do consent to any medical, surgical, x-ray, anesthetic, or dental treatment that may be deemed necessary for my minor child(ren). I understand that efforts will be made to contact me prior to treatment but, in the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment. Should there be no activity leader available, I give permission to the attending physician to treat my minor child(ren). As parent or legal guardian, I understand that I am responsible for the health care decisions of my minor child(ren) and agree that my insurance plan is the primary plan to pay for the medical, dental, or hospital care or treatment that is given to my minor child(ren). Any insurance policy of the church or organization sponsoring these events will be used as the secondary coverage, if applicable.

1. Use and storage of my name and image, by means of digital or film photography, video photography, audio recording or other documentation, with respect to the activity, namely kid and youth ministry, of Cascade Fellowship Church.
2. Use of any stored data including my name and image in printed publications of Church.
3. Use of any stored data including my name and image in electronic publications of Church.
4. Use of any stored data including my name and image in any Web site created by or for Church for its sole benefit.
5. If I am signing this agreement on behalf of a minor child, I hereby warrant that I am the legal
parent or guardian of the child and that I have the legal authority to sign this agreement on behalf of
the child.
6. If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter
through a mutually acceptable alternative dispute resolution process. If I cannot agree with
Church upon such a process, the dispute will be submitted to a three-member arbitration panel for
resolution in accordance with the rules of the American Arbitration Association for final resolution.