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Purpose Church

Vacation Bible School

June 21-25, 2021

Age 6 years by June 20th through entering the 5th grade

Nursery and Kindergarten available to VBS volunteers only due to space considerations.

Limited to the first 175 children, volunteers, and staff.

No on-site registration will be available.

 

As our facility is under construction, we will using the Whitefields Church facility.

2950 Colorful Ave, Longmont, CO 80504, United States

Monday - Friday

9:00 a.m. to Noon

Purpose Church VBS Liability Waiver 2021 

 

As the parent or legal guardian of

 

 

 

 

 

 

The individual named below as guardians to the children above desire to enter the premises of Whitefields Church, used by Purpose Church, as nonprofit charitable institutions, taking place at 2950 Colorful Ave, Longmont, CO 80504, United States (or any other location where related programming or activities are occurring, for example the parking lot) (the “Premises”), for the purpose of voluntarily presenting a vacation bible school program for my child and other participants, parents, and guardians entering or leaving the premises.  Activities related thereto, include, without limitation, group activities, recreation, classes, craft activities, social gatherings, etc., offered by Purpose Church. As lawful consideration for being permitted by both Purpose Church and Whitefields Church to be on the premises or engage in any activity, the parent/guardian hereby agrees to all the terms and conditions set forth in this waiver.

 

I hereby give permission for my child to participate in the Purpose Church VBS Program. I understand that Purpose Church is a nonprofit charitable institution, which is voluntarily presenting this program for my child, other participants, and the community. I also understand that the program has activities that can involve physical contact with other participants, the ground or equipment, and that there is a resulting risk of physical injury to my child.  I have explained these risks and the benefits of participating in this program to my child and my child is in proper physical condition and has no existing injuries or conditions that could jeopardize his/her safety or health, or the safety or health of the other participants.  

I understand that photos will be taken for a video of VBS activities to be played during the following Sunday's service.  No photos will be placed on the internet.  If there is an issue with photos, please reflect such in the comments below.  

 

Additionally, I recognize that every effort has been made to accommodate any food allergies I have reported for my child during snack at VBS and that they will be handled to the best of the abilities of the volunteers and staff of Purpose Church VBS and that all reasonable precautions will be taken to avoid allergen contaminants in food my child consumes from Purpose Church.  I will not hold Purpose Church, their volunteers, or staff responsible for any contact or injury from food allergens, up to and including those resulting in death, that may be caused by my child receiving or consuming any food that comes from VBS.

The 2019 coronavirus disease (COVID-19) (the “Disease”) has been declared a worldwide pandemic by the World Health Organization and is reported to be extremely contagious. The state of medical knowledge is ever-evolving, but the disease is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and in the air. People reportedly can be infected and show no symptoms and therefore spread the disease.  Evidence has shown that the disease can cause serious and potentially life-threatening illness, and even death. The guardian is aware of the highly contagious nature of bacterial and viral diseases, including, without limitation, COVID-19, and the risk that all on the premises, including their child and themselves, may be exposed to or contract COVID-19 or another disease or illness despite precautions, by being on the premises and/or engaging in any activity. The parent/guardian understands and acknowledges that such exposure or infection from the disease or other Illness may result in serious illness, personal injury, permanent disability, death or property damage. The parent/guardian acknowledges that this risk may result from or be compounded by the actions, omissions, or negligence of others, including the Purpose Church, Whitefields Church, or other employees, contractors, representatives, consultants or agents. The Participant understands that while both Purpose and Whitefields church may have implemented preventative measures to reduce the spread of the disease and other illnesses, both churches cannot guarantee that those who enter the premises will not become infected with the disease or any other illness while on the premises or participating in any activity, and that being on the premises or participating in any activity may increase the risk of contracting the disease or another illness. NOTWITHSTANDING THE RISKS ASSOCIATED WITH THE DISEASE AND OTHER ILLNESSES, THE PARENT/GUARDIAN ACKNOWLEDGES THAT HE OR SHE IS VOLUNTARILY ENTERING THE PREMISES WITH HIS OR HER CHILDREN ENGAGING IN ANY ACTIVITY WITH KNOWLEDGE OF THE DANGER INVOLVED. THE PARENT/GUARDIAN HEREBY AGREES TO ACCEPT AND ASSUME ALL RISKS OF PERSONAL INJURY, ILLNESS, DISABILITY, DEATH, OR PROPERTY DAMAGE RELATED TO THE DISEASE OR ANY OTHER ILLNESS, ARISING FROM BEING ON THE PREMISES OR ENGAGING IN ANY ACTIVITY BY THEMSELVES, REPRESENTATIVES, OR CHILDREN/GUARDIANSHIP, WHETHER CAUSED BY THE NEGLIGENCE OF THE PURPOSE CHURCH, WHITEFIELDS CHURCH, THOSE PRESENT, OR OTHERWISE.

The parent/guardian hereby expressly waives and releases any and all claims, now known or hereafter known, against Purpose Church, Whitefields Church, and any related officers, directors, employees, agents, affiliates, contractors, representatives, participants, successors and assigns, on account of injury, illness, disability, death or property damage arising out of or attributable to the parent/guardian, representative of parent/guardian, and children's presence on the premises or engaging in any activity and being exposed to or contracting the disease or any other illness, whether arising out of the negligence of any party or otherwise. The participant covenants not to make or bring any such claim against Purpose Church, Whitefields Church, and any related officers, directors, employees, agents, affiliates, contractors, representatives, participants, successors, and forever releases and discharges all from liability under such claims.  The parent/guardian and their representatives shall defend, indemnify, and hold harmless Purpose Church, Whitefields Church, and any related officers, directors, employees, agents, affiliates, contractors, representatives, participants, successors against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including attorney fees, fees, and the costs of enforcing any right to indemnification under this waiver, and the cost of pursuing any insurance providers, incurred by or awarded against Purpose Church, Whitefields Church, and any related officers, directors, employees, agents, affiliates, contractors, representatives, participants, successors, arising out or resulting from any claim of a third party related to the disease due to the parent/guardian and/or any representative engaging in any activity or being on the premises.

The parent/guardian, any representative of the parent/guardian, and their children will comply with all instructions, orders, directives and guidelines of Purpose Church and Whitefields Church staff and volunteers while on the premises or while participating in any activity, including, without limitation, requirements related to hand sanitation, social distancing, and use of face coverings. The parent/guardian, any representative of the parent/guardian, and their children also agrees not to enter the premises or participate in any activity if the parent/guardian, any representative of the parent/guardian, and their children are experiencing symptoms of the disease or another Illness (not limited to but including cough, fever, fatigue, aches, loss of taste or smell, sore throat, shortness of breath, vomiting or diarrhea), has a confirmed or suspected case of the disease, or has come in contact in the last fourteen (14) days with a person who has been confirmed of having the disease.  Vaccination does not release any parent/guardian, representative of the parent/guardian, and their children from complying with instructions, orders, directives and guideline of Purpose Church and Whitefield Church staff and volunteers while on the premises.  

I also give permission for the staff, representative, or volunteers of Purpose Church to administer first aid or to seek medical care for my child during my child's participation in the program, including transportation of my child to a medical facility for additional treatment that appears necessary.

 

The parent/guardian acknowledges that this waiver is binding and has been freely and voluntarily entered into without any inducement, assurance or guarantee. Further, it is the parent/guardian's intent that this instrument act as a complete and unconditional release of all liability to the greatest extent allowed by law.  I therefore release and discharge all liability for any harm or injury suffered directly or indirectly as a result of my child's participation in Purpose Church VBS Program, whether or not resulting from negligence.

 

Name of Parent/Guardian:

Date: 

purpose church will be in contact with you to confirm your Waiver within 72 hours.

Thank You!