New Family Registration (youth and kids)

Date

I consent to the use of photography/videography of all members of my family for promotional and/or educational purpose

I release and hold harmless Restore Church from any and all claims, demands, suits, cost and charges in connection with or arising out of the child services, including, but not limited to, bodily harm or injury to my child, except only for loss, harms or injury occasioned by gross negligence of intentional misconduct by Restore Church. I hereby grant permission for Restore Church and its volunteers full authority to take whatever actions they deem necessary regarding my children's health and safety in the event that I cannot be reached or in a situation where time is of the essence; and fully release Restore Church and its volunteers from any liability in connection with those decisions. I grant permission for emergency treatment by a rescue squad, private physician and/or hospital or emergency health care facility staff if needed. Any such action will be taken in the best interest of my children and will be reported to me as soon as possible.

Please add both the birthdate and grade of each child unless they are younger than preschool age.

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