Prayer & Paint Permission to Participate Form
Parents Name
First Name
Last Name
Parents Cell Phone Number
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Area Code
Phone Number
Youth Full Name
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First Name
Last Name
Youth Full Name
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First Name
Last Name
Youth Full Name
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First Name
Last Name
Youth Full Name
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First Name
Last Name
Requirements
The child named above is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the child. Parents/guardians should specify allergies and medical problems in section above. Masks are required and temperatures will be checked at the door. "Do not enter if you are sick or experiencing any symptoms of COVID-19.”
Consent
I hereby attest that I am (we are) the legal parent\guardian(s) of the above-named child and hereby consent to the child's participation in the activities described above. I understand that activities of the kind described above may result in physical injury to my child but nonetheless specifically request that he or she be allowed to participate in those activities. The 3D Complex has implemented appropriate measures and safeguards regarding COVID-19, however, there exists a risk of the spread of COVID-19 in any group, social or public setting, location or event. Presence on The 3D complex campus could increase your risk of contracting COVID-19. The 3D Complex disclaims any liability for exposure to COVID-19 and by your entry or presence on The 3d Complex campus or property you voluntarily assume all risks and agree you will not hold The 3D complex or its related parties liable for any resulting illness or injury.
Emergencies
If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to and authorize the above-named activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).
I, the parent/guardian, hereby attest that I have carefully read this Permission to Participate, understand its contents, and agree to its terms and conditions.
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I agree
Date
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