Permission: As a parent and/or guardian of my son/daughter, I do hereby grant permission for my child(ren) to attend and participate in the following activities conducted by Houston Chinese Church’s Children’s Ministry (including but not limited to: Awana, Kids Church, Sunday School, and Vacation Bible School) during the period of September 1st, 2020 through August 31st, 2021, activities which may be physically conducted within the HCC campus or online through official online meeting platforms used by Houston Chinese Church (including but not limited to: HCC website and Zoom videoconferencing portal).
I, the undersigned, understand that in the case of an activity physically occurring on the HCC campus, I or my designated emergency contact will be notified in the case of a medical emergency. However in the event that I cannot be reached, I hereby the calling of medical professionals and/or the providing of necessary medical services in the event that my child becomes ill, physically injured, or any condition that may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. I authorize the adult leaders in charge of Children’s Ministry to act in my place to consent to all necessary and appropriate x-ray examinations, anesthetic, medical or surgical diagnosis or treatment, and hospital care.
I also understand that the designated authority reserve the right to restrict my child from any activity that they do not fell is within the physical capabilities of my child.
This consent and release indicates my willingness to take full financial responsibility for any and all medical services rendered for the named participant, including my agreement to have my health insurance company be billed for any and all medical fees and services deemed necessary. I hereby release Houston Chinese Church, its pastoral staff, volunteers or representatives from this financial liability, and all liabilities or claims for personal injury, illness or death, as well as property damage and expenses of any nature whatsoever.
Medical Release: This consent and release will be in effect starting September 6, 2020 and continuing through May 15, 2021. May signature below indicates my willingness to take full financial responsibility for any and all medical services rendered for the named participant. May signature also serves to indicate my willingness for my health insurance company to be billed for any and all medical fees and services deemed necessary.
Media Release: I understand that during the events/programs conducted by Houston Chinese Church’s Children’s Ministry or related activities, my child may be photographed or video-recorded.
I agree that Houston Chinese Church shall have the right, but not the obligation to use my child’s photograph, video, likeness (including caricature) to be used for any legitimate purpose (including but not limited to event archival, in-house promotion or reporting purposes) within the campus of Houston Chinese Church campus by HCC Children’s Ministry and its event directors and organizers. When a child’s video, photo or likeness is used, my child may only be identified by his/her first name.
I understand that I may withhold permission to have my child’s likeness, photo or video be used in any promotional or ministry purpose outside of the church campus (including but not limited to: printed promotional posters or materials, social media posts, publication in local or national media).
© 2021 All Rights Reserved. Houston Chinese Church | 10305 S. Main Street Houston, TX 77025-5509 | 713.663.7550