High School Winter Retreat

We (I), being 18 years of age or older, do for ourselves (myself) and for and on the behalf of my child/participant (if said child is not 18 years of age or older) do hereby release, forever discharge and agree to hold harmless Grace Chapel and all staff, volunteers or other personnel from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the child/participant that occur while said child/participant is participating in any Grace Chapel trip/activity. Furthermore, we (I) on behalf of our (my) child/participant (if under the age of 18 years old) hereby assume all risk of personal injury, sickness, death, damage, and expense as a result of participation in recreation and other activities involved therein. Further, authorization and permission are hereby given to said Church to furnish any necessary transportation, food, and lodging for the participant. The undersigned further hereby agree to hold harmless and indemnify said Church, its directors, employees, and agents, for any liability sustained by said Church as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto. Should an emergency situation arise, we/I hereby give our (my) permission to take the said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any. Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, we (I) hereby assume all transportation costs. Mandatory Reporting Required: If Grace Chapel has reasonable cause to know or suspect child abuse and neglect, we are required to report it to the appropriate authorities, according to Colorado statue 19-3-304 (1), (2), (2.5); 19-3-11. Media Liability Release: By registering, I am giving Grace Chapel permission to use images, videos, or quotes taken of me/my children in promotional materials, in the newsletter, on the website, or in any capacity for any use in perpetuity.