Minor Participation Authorization
I, the undersigned, certify that I am the parent or legal
guardian of the named studant above. I hereby give my consent to have my minor child participate in the following activities of The Crossing Life Church: School of warrior Arts, starting from the time of purchase.
I recognize that there are risks involved in participating in this activity and hereby assume all risk
of injury, harm, damage, or death to my minor child in connection with his/her participation in
this activity.
To the fullest extent permitted by law, I release The Crossing Life Church, its trustees, officers,
directors, employees, agents and representatives from any injury, harm, damage or death which
may occur to my minor child while participating in the activity and agree to save and hold
harmless The Crossing Life Church, its trustees, officers, directors, employees, agents and
representatives from any claims arising out of my minor child’s participation in the activity.
Further, being the parent or legal guardian of the minor child, I do consent to any medical,
surgical, x-ray, anesthetic, or dental treatment that may be deemed necessary for my minor
child.
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. As parent or legal guardian, I
understand that I am responsible for the health care decisions of my minor child 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. Any insurance policy of the church or organization
sponsoring this event will be used as the secondary coverage.
Executed this day of Purchase