I'm aware that temperatures will be checked each day upon arrival of both students and leaders. Those with temperatures above 100 will not be able to participate. Students will also be asked to practice social distancing to the best of their ability with guidance of leaders throughout the activities. Even with safety precautions, I recognize and accept the risks and responsibilities of public activities during this time for myself and my child. I will not hold The Road Church, or its individuals and participants liable for any illness contracted through our participation.
I have not shown any symptoms of Covid-19 (Fever, shortness of breath, or cough) in the past 5 days. I have not been in direct contact with any individuals with symptoms or known cases of Covid-19.
I understand due to precautions, snacks and food will not be served during this year's VBS. Disposable, individual, single use water bottles will be available to students each night.
As legal guardian of the student or for my own person I hereby give permission for he/she to participate in VBS activities organized by The Road Church.
I understand that, in the event that myself/ my child requires medical or dental treatment while engaged in the activity, reasonable efforts will be made to contact me; however, if I cannot be reached, I hereby consent and give my permission to the ministry’s sponsor or any adult counselor acting on behalf of the ministry with respect to the Activity, as agent for me, to consent to any X-ray examination, injections, anesthesia, medical, dental, or surgical diagnosis and treatment; and hospital care and treatment advised and supervised by a physician, surgeon, or dentist licensed to practice under the laws of the state where the services are rendered, either as an outpatient or in any hospital.
I understand that my insurance coverage for myself/ my child will be used as primary coverage in the event medical intervention is needed. I understand all reasonable safety precautions will be taken at all times by The Road Church and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk during the activities. I also agree not to hold The Road Church, its leaders, employees, volunteer staff, and agents liable for damages, losses, diseases, or injuries incurred during my or my student’s participation in the activities and events.
I also understand that visual and audio recordings may be made of these activities, and can be used by The Road Church as needed for publicity, announcements, social media use, scrapbooks, etc.
If you are over 18 please provide us with a copy of a current background check from 2018 or more recent. OR provide us with your email address and watch for an online consent form from Choice Screening.
Email address you wish to receive your online background check form through.