FIRST FREE YOUTH - 2019/2020 WAIVER & INFORMATION FORM

Parents or Legal Guardians of minor youth should fill out this form and click submit. The First Free - Youth Information Form should be filled out for youth who have not participated in First Free Youth activities prior to this event.
2019/2020 FIRST FREE YOUTH - RELEASE WAIVER

Parents or Legal Guardians of minor youth should fill out this form and click submit. One form should be submitted for each minor youth.
 
 
 
I, the undersigned, give permission for the minor under my guardianship,
 

to  voluntarily  participate  in  youth-group-related games and/or activities in conjunction with First Free Church’s youth group program for the 2019/2020 school year. In consideration to being permitted to participate in these games and/or activities beginning September 1st, 2019 through August 31st, 2020, I, the undersigned, fully recognizing the dangers and  hazards inherit in any games and/or activities as  well  as any  related transportation, including personal injury, property damage, or wrongful death, as well as the unknown dangers and hazards which may arise in the course of my minor’s participation in First Free Church’s youth group program for the 2019/2020 school year, do hereby voluntarily:


Agree, for the minor under my guardianship, to defend, hold harmless, indemnify, release and forever discharge, to the broadest extent allowed by law, First Free Church, its trustees, employees, agents, insurers, successors, assigns, from and against any and all claims, demands, actions, or causes of action on account of any damage to real or personal property or any personal injury or death that may result from their participation in First Free Church’s youth group program for the 2019/2020 school year.


I have read this release, I understand it fully, I understand that it is legally binding, and I understand that, among other things, I am agreeing to indemnify First Free Church for injuries, damages, or losses I may cause and giving up rights to sue First Free Church for injuries, damages, or losses I may incur.


 
 
FIRST FREE YOUTH - INFORMATION FORM

Please fill out this form only if this is the FIRST time the minor youth has participated in a First Free Youth activity.

Please fill out one form per minor youth.
GENERAL YOUTH INFORMATION:

 
 
 
Please select one option.
Please select one option.
 
 
 
 
 
Please select one option.
ALLERGY AND MEDICAL INFORMATION

This information provided will be treated as strictly confidential. Information on allergies, medical diagnoses and medications will be used solely to help provide a safe environment for youth.

 
 
 
 
 
 
 
 
 
 
 
 
PARENT/LEGAL GUARDIAN INFORMATION:

May list up to two.
 
 
 
 
 
 
 
 
 
 

Description

Parents or Legal Guardians of minor youth should fill out this form and click submit. The First Free - Youth Information Form should be filled out for youth who have not participated in First Free Youth activities prior to this event.