Family Ministry 2024-2025 Medical Waiver

Filling out our Family Ministry Medical Waiver form ensures that we have the necessary information to care for your child or youth during our events and activities. By providing these details, we can create a safe and welcoming environment, address any specific needs, and stay in touch with you about important updates. Whether your family is new to The Crossings Church or has been here for years, we’re committed to supporting you and walking alongside you in your faith journey.

If you would prefer to download and print a copy of the form to turnn in, please click the download link.

Download

This form must be completed and signed by a parent/legal guardian for any youth who wants to participate in any Crossings Youth activities.

Student Name(Required)

First Last

Date of Birth(Required)

Event Policies

The Crossings Community Church wishes to provide all youth with loving, fun, and safe environments in which to explore their faith. It has always been this church's policy that no youth may bring any illegal drugs, alcohol, tobacco, weapons, or other inappropriate materials to youth events. It has also been our policy that should any youth be found with such items in their possession while at a youth event, they would be subject to immediate disciplinary action, which may include being sent home at the parents/guardians’ expense.

In order to effectively carry out these policies, if there is reasonable suspicion that youth has in his/her possession illegal drugs, alcohol, tobacco, weapons, or other inappropriate materials, the ministry director, pastor or other paid staff member of The Crossings Community Church will take appropriate measures to enforce the above-stated policies, which may include searching luggage and/or other personal items. This will be done in the presence of one other adult and the youth and will only be carried out if there is reasonable suspicion that such items are present.

I, the legal parent/guardian, do hereby give permission for the youth director(s), pastor(s), or other paid staff of The Crossings Community Church to carry out the actions outlined above. I understand that this policy is in place to ensure a healthy environment for all youth and that this will only be carried out if deemed absolutely necessary.

Liability Release and Consent for Treatment

In the unlikely event that my child is injured while participating in activities at The Crossings Community Church or in route to such activities, my child and I relinquish all rights to recover damages for any and all injuries sustained by my child. In consideration for The Crossings Community Church granting my child permission to participate in Children’s Ministry activities, I hereby release The Crossings Community Church, its employees and volunteers from liability or injuries occurring in The Crossings Community Church activities.

In case of emergency, I hereby authorize The Crossings Community Church to contact emergency personnel and release pertinent personal information so that my child may receive treatment.

Consent for release of information and for treatment(Required)

List allergies, medical or other special conditions we should be aware of:(Required)

(If none, just enter none)

Will your child be carrying an epi-pen?(Required)

In case of emergency (when the parent/guardian cannot be reached) contact:(Required)

First Last

Emergency Contact Phone:(Required)

Relationship to Child(Required)

I give permission for my child to be transported in a vehicle:(Required)

I give permission for photos to be taken of my child participating in activities:(Required)

People who have my permission to pick up my child(ren) when I am unable to:

Name

First Last

Phone

Relationship to Child

Name

First Last

Phone

Relationship to Child

I acknowledge that I have read and completed the above information:

Parent Guardian Name(Required)

First Last

Email(Required)

Phone(Required)

Today's Date(Required)

Participants’ electronic signature shall have the same validity and effect as a signature affixed by hand.