Form must be filled out by parent or legal guardian.
Agreements and Authorizations
I understand that UUFC assumes no liability for loss, damages, or any kind of injury sustained by my child, myself, or our property while participating in youth events. I therefore assume all risk associated with participation in UUFC activities. By signing this release of liability and participating in UUFC activities, I hereby fully and forever release and discharge UUFC and their staff, volunteers, and agents from any and all claims or demands resulting from or arising out of my participation in UUFC events.
I do hereby authorize the staff and volunteers of UUFC to consent to any necessary emergency transportation, examination, anesthetic, medical diagnosis, surgery, or treatment and/or hospital care to be rendered to the above-named minor, under the general or special supervision and on the advice of any physician licensed to practice medicine. I understand that I will be responsible for all financial obligations and insurance claims resulting from the aforementioned care. I understand that this consent is allowed to emergency treatment to be initiated without delay and that the staff, volunteers, and emergency personnel will continue efforts to contact me.
1. Participation in some children's activities involves risk. Any participant in UUFC gatherings acknowledges these risks and assumes all responsibility.
2. Parents or legal guardians are responsible for the supervision of their children and youth outside of designated fellowship children's or youth activities. Children under 18 are not permitted to linger unattended in the classroom wing or playground.
3. No alcohol, tobacco, vape, or drugs are permitted at children's gatherings.
4. No sexual activity or language, or sexually explicit media of any kind is permitted in children's gatherings, either physical or digital.
5. No intentional destruction of personal or Fellowship property is allowed, including but not limited to graffiti, stickers, and carving.
6. Violent language and behavior are not permitted on UUFC property.
7. No firearms or weapons of any kind are allowed on UUFC property.
8.No leaving the group location without proper permission – what constitutes permission may vary by event but must require permission from the supervising adult.
9. Rule of three - All excursions must include a minimum of three, multigenerational participants. No children or adults are to ever be alone in a closed space with another youth participant.
10. Photos of participants may be used by UUFC unless consent is withdrawn. Consent may be withdrawn by contacting Skyla King-Christison (dre@uucorvallis.org)
By typing my name in the box above, I am providing my digital signature on this form.
By clicking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request, to us, obtain a paper copy of the electronic record. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature.
