Below is the text for our HSM Party at the Lake student release form. Feel free to print it and turn it in at the Warehouse, or pick up a copy at the Warehouse.

CONSENT AND RELEASE FROM LIABILITY

I, ________________________________, hereby acknowledge that it is my desire (for my child) to participate in the NewPointe Community Church Sr. High outing to Tall Timber Lake, in New Philadelphia, OH, on August 16, 2009, as well as transportation to and from such activities.

I AM (MY CHILD IS) VOLUNTARILY PARTICIPATING IN THIS ACTIVITY, INCLUDING TRANSPORTATION TO AND FROM SUCH ACTIVITY, WITH KNOWLEDGE OF THE DANGERS INVOLVED AND HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY AS A RESULT OF SUCH PARTICIPATION AND TRANSPORTATION.

As lawful consideration for permitting me (my child) to participate in such activity, including the transportation to and from such activity, I hereby release and discharge NewPointe Community Church, its officers, employees, agents and members of the Leadership Team from all actions, claims or demands I and my heirs, distributes, guardians, legal representatives or assigns now have or may hereafter have for any injury or damages resulting from the negligence or other acts, howsoever caused, by such church, officers, employees, agents and Leadership Team, before or during my participation in such church-sponsored activities on and/or away from the church premises, including transportation to and from such activities.

I HAVE CAREULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND AN ASSUMPTION OF RISKS AND SIGN IT OF MY OWN FREE WILL.

This Consent and Release from Liability shall remain effective until revoked in writing and delivered to any officer, employee or agent of NewPointe Community Church.

Executed this _________ day of ____________________, 20 ______, at ___________________

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Signature