Tubing Waiver

Student Name *

First Name

Last Name

Student Name 2

First Name

Last Name

Student Name 3

First Name

Last Name

Student Name 4

First Name

Last Name

Parent Name

First Name

Last Name

Emergency Contact Number *

(###)

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High Risk Activity Parent Consent *

I hereby consent to the participation of my/our child(ren) in this high risk activity of tubing. While every precaution is taken for the safety and good health, I/we recognize some sports and activities including tubing carry with them the inherent risk of personal injury beyond the risks associated with many of the recreational activities at Calvary Baptist Church & Calvary Baptist Youth. I/we understand and accept these risks and agree that by allowing my child to participate in this activity of tubing, he/she may be taking part in a recreational activity that presents the potential for personal injury. I/we certify that the Attendees are in good health, normal in condition and habits, and are amenable to rigorous activities. I/we, the parents or guardians named below, authorize the Director or one of the Calvary Baptist Church Personnel to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above in the event a parent or guardian cannot be reached immediately. I/We agree that the participant or parent/guardian is responsible for all costs incurred. I/we, named below, undertake and agree to indemnify and hold blameless the Muskoka Bible Centre Inc, Muskoka Ministry Centre, Muskoka Bible Ministries, Muskoka Bible Foundation, Calvary Baptist Church, Calvary Baptist Youth, its personnel, its Directors and Board from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of the Calvary Baptist Church & Calvary Baptist Youth, as well as of any medical treatment authorized by the supervising individuals representing Calvary Baptist Church & Calvary Youth. This consent and authorization is effective only when participating in or traveling to events of Calvary Baptist Youth. I/we have read and understood the information above and herby agree with the waivers and conditions stated above.

Yes

No