I understand that utilizing the Sojourn Church Childcare Program is a privilege. I understand that children can be
checked into their class 15 minutes before the start of the group or meeting and end promptly at the end of the group.
I understand that failure to comply with these timeframes will directly affect this privilege.
I hereby consent to allow the above named children to participate in the Childcare Program or other scheduled events
at Sojourn Church. It is understood that every precaution will be taken for the safety and well being of my child. I
hereby release and hold harmless Sojourn Church, its employees and volunteers from any and all liability, claims, or
damages for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever
which may be incurred by the undersigned and child participant that occur while said child is participating in the
childcare program Sojourn Church.
I understand that the church will attempt to notify me in case of a medical emergency involving my child. If the
church cannot reach me, I authorize the church to secure a doctor or other healthcare professional to provide the
emergency medical care as needed. I will pay for the medical expenses incurred in this treatment. I will notify the
church if there are any health considerations that would prevent my child’s participation in activities sponsored
by Sojourn Church. I give church leaders permission to restrict my child from participating in any activity if they
should doubt my child’s ability or safety while participating.
This document shall remain in full force and effect until written notice of revocation or withdrawal is received
by Sojourn Church. It is the responsibility of the parent/guardian to notify the church of any changes in medical
condition, guardianship, address or phone number in writing.
I, the undersigned, am the parent and/or legal guardian of the minor(s) named above. I have the legal right to
consent and DO hereby consent to the terms and conditions of this agreement and do hereby agree to be personally
bound by the terms and conditions set forth therein.
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