Please note that the church, their staff, and volunteers are NOT responsible for administering medication to guests during the Hope Prom event.
If medication is required during the event, a parent or caretaker MUST be available to administer the medication.
Parent/Caretaker Information
Care Provider Agency - If Applicable
If attending as part of a group, please include agency or company name.
Note: Chaperone is not required to stay with guest(s) unless escorted by Care Provider Agency.
Hope Church, Inc Liability Release Form
Event Name:
Hope Prom
October 5th, 2024
I understand that by initialing below, I assume any risk of harm or injury which may occur to the participant due to his/her/my participation in the event or activity. If the participant is a minor, I agree that the minor has my consent to participate in the event. I further provide my consent for Hope Church Inc, to seek emergency treatment for the minor, if necessary. I agree to accept financial responsibility for the costs related to any necessary emergency treatment. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Hope Church Inc, and its designated chaperones from any and all claims, demands, or causes of action,which are in any way connected with my (or my child’s) participation in these activities or use of Hope Church’s equipment and facilities. I acknowledge by signing this document, that if anyone is hurt or property is damaged during any participation in these activities, I may be found by a court of law to have waived my right to maintain a lawsuit against the church, it's officers, and pastors OR its designated chaperones on the basis of any claim form which I have released them herein. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions remain in full force and effect. I have fully informed myself to the contents of this PARTICIPANT AUTHORIZATION, CONSENT AND RELEASE by reading it before I initialed it.