SURF CAMP Release Form 2024

2024 - May-October | This is the electronic version of our Release of Liability and Consent For Treatment Form.
This form will be used in case of an emergency.
We require to have one on file for each person/family who is participating in our Church Sponsored Surf Camp.
Please fill out this form and click submit.
Surf Camp 2024 RELEASE OF LIABILITY & CONSENT FOR TREATMENT

I/We do hereby release, discharge and/or indemnify Calvary Chapel West Houston, it’s staff, volunteers and agents from any liability whatsoever arising out of any injury, illness, damage, harm or loss of any kind which may be sustained by said person(s) during the course of participation/involvement with Calvary Chapel West Houston.

In case of injury/emergency or loss of ability to communicate, I/We consent to the treatment by any medical emergency service representative, including the transportation by an emergency vehicle to a hospital or medical facility. I/We hereby authorize and consent to the performance of medical examination, treatment and hospital care from any physician, nurse or medical personnel, including but not limited to x-rays, anesthesia and surgery.
 
 
 
 
 
 
 
 
 
I am over the age of 17 and I have completed this entire document.  
I have read the above explanation of this document and I consent to it completely. 
I agree to electronically sign this Release/Consent form by adding my name, my date of birth and today's date below.
 
 
 

Description

2024 - May-October
This is the electronic version of our Release of Liability and Consent For Treatment Form.
This form will be used in case of an emergency.
We require to have one on file for each person/family who is participating in our Church Sponsored Surf Camp.
Please fill out this form and click submit.