Venture Christian Church High School’s Liability Form 2023-24

Release from Liability and Authorization to Provide Treatment

I represent that I am the parent/legal guardian of my child, who is under 18 years of age. I understand that every activity sponsored by Venture Christian Church is carefully planned and adequately supervised by mature adults. I acknowledge that even with the best planning and precaution, unforeseen events can occur. I assume full responsibility for my child's participation in Venture Christian Church activities, whether such risks are known or unknown to me at this time, and understand that my child is responsible for applying all instruction and rules given to him/her for any activity or incidental activity. I give my permission for him/her to take part in any activities sponsored by Venture Christian Church and permit the church to furnish any necessary transportation (within the limitations of church insurance and the law) for such activity. I assume personal responsibility for and hereby release and agree to indemnify and hold harmless Venture Christian Church, its officers, directors, employees, agents, and any parties volunteering on behalf of the church ("VCC") from all actions (including, but not limited to, personal injury, property damage, or wrongful death), costs, expenses or damages of any kind growing out of or related to any activities (on or off church grounds), transportation to and from activities, or for any liability for personal injury, property damage or wrongful death caused by or resulting from participation in such activities. I further hereby waive the provisions of Section 1542 of the Civil Code of the State of California, which provides: "A general release does not extend to claims which the creditor does not know or suspect exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor." This release shall be binding upon my heirs, representatives, successors, and assigns. MINOR'S MEDICAL RELEASE I acknowledge that participation in the activity described above involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, exposure to infectious/communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In consideration for the opportunity to participate in the activity described above (the “activity”), the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by the sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to as the “activity sponsor”). Further, the participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the activity sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise. If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the participant (or parent/guardian) and the activity sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.

By signing below, I agree to comply with the written instructions above. Failure to comply with these written instructions or verbal instructions from staff may result in my child’s privileges being removed and he/she may be asked to leave the premises.

HSM Movie Night - April 21, 2026