Vineyard Christian Church
1055 McNaughten Road
Columbus, OH 43213
Liability Release Statement
Medical Release
In the event of an emergency, I hereby give permission to Vineyard Christian Church and its representatives to obtain medical assistance for my child. I also give permission to the physician selected to hospitalize and secure proper treatment for my child.

Participation Agreement

By signing a hard copy or digitally, the parent/guardian acknowledges and excepts the risks of physical injury, loss or damage a person or property associated with participation in an activity. Except for gross negligence on the part of Vineyard Christian Church and its representatives, parent/guardian accept personal financial responsibility for any bodily or personal injury sustained, or loss or damage to property during the activity.  Further, the parent/guardian promises to hold harmless Vineyard Christian church and its representatives for any injury, loss or damage to person or property related to the activity. If a dispute over this agreement or any claim arises the participant or parent/guardian agrees to resolve the matter through a mutually acceptable arbitration process.
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Signature of Parent or Legal Guardian               Date