Common use of Limited Power of Attorney for Medical Consent for Health Care of Minor Child Clause in Contracts

Limited Power of Attorney for Medical Consent for Health Care of Minor Child. You authorize FBC to administer general first aid treatment for minor injuries or illnesses experienced by you or your child (whichever is relevant) when participating in the Activity except for the following first aid treatment: You also authorize FBC, in the event that you are disabled, cannot be contacted or if any urgency dictates, to act in loco parentis for your child in respect of any circumstances, including any accident or illness, which may necessitate medical treatment, including surgery, hospitalization, and administration of drugs or other therapeutic measures for the health, safety, and care of your child, and authorize and execute any informed consent for any such treatment or surgery which FBC, in its sole discretion, may deem necessary. Such consent shall have the same force and effect as though the undersigned were personally present and acting, and hereby ratifying and confirming whatever FBC does by authority of this instrument. Medical treatment for your child may also include dental surgery, x-ray, blood transfusion, anesthetic and medication, provided any such medical treatment is performed by a duly licensed practitioner. You hereby accept full liability for all costs incurred through such medical treatment for your child. You have the legal right to delegate such medical consent to FBC. A representative of FBC, the proxy decision maker, shall be an adult who is legally and medically competent to exercise the authority so delegated in this Agreement. HIPAA Release Authority. FBC (and its representative) shall be treated as you would be with respect to our rights regarding the use and disclosure of your child's individually identifiable health information or other medical records. This release authority applies to any information governed by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42 U.S.C. § 1320d and 45 C.F.R. §§ 160 through 164, and the Health Information Technology for Economic and Clinical Health Act ("HITECH Act"). You authorize any physician, health care professional, dentist, health plan, hospital, clinic, laboratory, pharmacy, or other covered health care provider, any insurance company, and the Medical Information Bureau, Inc. or other health care clearinghouse that has provided treatment or services to your child, or that has paid for or is seeking payment from you for such services, to give, disclose and release to FBC, without restriction, all of your child's individually identifiable health information and medical records regarding any past, present or future medical or mental health condition, including all information relating to the diagnosis of HIV/ AIDS, sexually transmitted diseases, mental illness, and drug or alcohol abuse. The authority given FBC shall supersede any other agreement that we may have made with your child's health care providers to restrict access to or disclosure of your child’s individually identifiable health information. The following are your child's only known special medical conditions or drug intolerances of which FBC should be aware: (Please list allergies, tendency toward abnormal bleeding, epilepsy, etc.) Prescribed or other medications or drugs that your child takes include: This Limited Power of Attorney shall remain in full force and effect until revoked in writing, and any party dealing with FBC (and its representative) during such time shall be fully protected and is hereby discharged, released and indemnified from so doing in respect of any matter relating hereto unless such particular party shall have received prior notice in writing of the revocation of this Limited Power of Attorney.

Appears in 5 contracts

Samples: First Baptist Church Naples, First Baptist Church Naples, First Baptist Church Naples

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Limited Power of Attorney for Medical Consent for Health Care of Minor Child. You authorize FBC to administer general first aid treatment for minor injuries or illnesses experienced by you or your child (whichever w hichever is relevant) when participating in the Activity except for the following first aid treatment: You also authorize FBC, in the event that you are disabled, cannot be contacted or if any urgency dictates, to act in loco parentis for your child in respect of any circumstances, including any accident or illness, which may necessitate medical treatment, including surgery, hospitalization, and administration of drugs or other therapeutic measures for the health, safety, and care of your child, and authorize and execute any informed consent for any such treatment or surgery which FBC, in its sole discretion, may deem necessary. Such consent shall have the same force and effect as though the undersigned were personally present and acting, and hereby ratifying and confirming whatever FBC does by authority of this instrument. Medical treatment for your child may also include dental surgery, x-ray, blood transfusion, anesthetic and medication, provided any such medical treatment is performed by a duly licensed practitioner. You hereby accept full liability for all costs incurred through such medical treatment for your child. You have the legal right to delegate such medical consent to FBC. A representative of FBC, the proxy decision maker, shall be an adult who is legally and medically competent to exercise the authority so delegated in this Agreement. HIPAA Release Authority. Authority FBC (and its representative) shall be treated as you would be with respect to our rights regarding the use and disclosure of your child's individually identifiable health information or other medical records. This release authority applies to any information governed by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42 U.S.C. § 1320d and 45 C.F.R. §§ 160 through 164, and the Health Information Technology for Economic and Clinical Health Act ("HITECH Act"). You authorize any physician, health care professional, dentist, health plan, hospital, clinic, laboratory, pharmacy, or other covered health care provider, any insurance company, and the Medical Information Bureau, Inc. or other health care clearinghouse that has provided treatment or services to your child, or that has paid for or is seeking payment from you for such services, to give, disclose and release to FBC, without restriction, all of your child's individually identifiable health information and medical records regarding any past, present or future medical or mental health condition, including all information relating to the diagnosis of HIV/ HIV/AIDS, sexually transmitted diseases, mental illness, and drug or alcohol abuse. The authority given FBC shall supersede any other agreement that we may have made with your child's health care providers to restrict access to or disclosure of your child’s individually identifiable health information. The following are your child's only known special medical conditions or drug intolerances of which FBC should be aware: (Please list allergies, tendency toward abnormal bleeding, epilepsy, etc.) Prescribed or other medications or drugs that your child takes include: This Limited Power of Attorney shall remain in full force and effect until revoked in writing, and any party dealing with FBC (and its representative) during such time shall be fully protected and is hereby discharged, released and indemnified from so doing in respect of any matter relating hereto here to unless such particular party shall have received prior notice in writing of the revocation of this Limited Power of Attorney. Dispute Resolution You agree that the Bible commands us to make every effort to live at peace and to resolve disputes with each other in private or within the Christian community in conformity with the Biblical injunctions of I Corinthians 6:1-8, Xxxxxxx 5:23-24, and Xxxxxxx 18:15-20. Therefore, you agree that any claim or dispute arising out of or related to the Activity (including claims under federal, state and local statutory or common law, the law of contract, and law of tort) must be settled by Biblically-based mediation to be held in Naples, Florida and, if necessary, legally binding arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation, a division of Peacemaker® Ministries to be held in Naples, Florida. You shall bear your own costs of the mediation proceedings, including any attorneys' fees and witness expenses. Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction, provided that the arbitrator(s) are not authorized to issue a decision or award that a court of applicable jurisdiction could not legally award under applicable state or federal laws at the time. The arbitrator's award may be enforced by judgment in accordance with the Federal Arbitration Act. The prevailing party shall be entitled to recover reasonable attorney's fees and costs. You agree that these methods will be the sole remedy for any controversy or claim arising out of the Activity. You expressly waive the right to file a lawsuit in any civil court against FBC for such disputes, except to enforce an arbitration decision and except that a dispute over whether a decision exceeds the authority of arbitrator(s) will be decided by summary judgment proceedings in an applicable court of law. Attached list of activities… FBCN Student Ministry Summer Camp 2020 Lake Placid Camp and Conference Center, 0000 Xxxxxx Xxxx Xxxxx, Xxxx Xxxxxx, XX 00000 The (FBCN Student Ministry Summer Camp 2019) Activity and the related risks and dangers to which your child may be exposed includes, without limitation, the following: Ground transportation from First Baptist Church of Naples to Lake Placid Camp and Conference Center 0000 Xxxxxx Xxxx Xxxxx Xxxx Xxxxxx, XX 00000; spending the night in camp bunk style bed dormitories; “door-to-door” and all other types of evangelism; yard work and cleaning (indoors and outdoors); recreation time including; Low ropes course; zip line; paintball; baseball, basketball, soccer, volleyball, human foosball, and other sports and games; “messy games” including but not limited to the use of: fruit (non-toxic paint), water, and other messy items; worship services including fog and other lighting effects; children’s ministry including sports, puppets, Bible stories, crafts and coloring; schools, churches and other places and other non profit mission outreach locations; revival, prayer, devotional and other services; shopping, eating; and swimming in the lake. Related risks and dangers include natural disasters, including but not limited to rain, lightning, wind, tornados, and hurricanes. Other activities may require individual forms such as zip line & paintball if provided. Students may participate in slip and slide activities; these activities could include, but are not limited to: kickball, hockey, tag and other competitive games. The games played on the slip and slides may encourage students to run, slide, race, stop quickly or other necessary procedures to effectively play. Soap, or other slippery substances may be used to aid students in sliding across the surface. By nature, slip and slides are slippery which may cause students to slip, fall, be knocked down, or collide into another student. Lake activities provide for swimming, canoeing, kayaking, water blob, trampoline, tubing, water slide, hammocking and other recreational activities; Other recreational Lake activities; Boat tubing, boarding a boat, riding a boat; encountering changing water flows, increased flows and the possibility that the student may be jolted, xxxxxx, bounced or thrown to and fro, separated from the tube or boat, etc. during rides through some of these changing water flows; the tube may break down or be faulty; it is possible that loss of control of the tube can occur resulting in collision or capsizing or sinking and that if a tube turns over or flips the student could be “washed” overboard; tubes are slippery when wet and are naturally unstable so that the student could slip and fall or be knocked out of the tube even in flat or non-moving water; while in the water the student may become disoriented, panicked, etc; the student can slip or fall during hiking or portaging or getting to and from the tube or tubing areas and the student and/or parent understands that the areas in which they may hike sometimes hides dangerous obstacles such as tree xxxxx, tree stumps, creeks on lake perimeter, etc; the tube or any portion of it may collide with or encounter other boats, man-made or natural objects including submerged or semi-submerged trees, rocks, branches, boulders, bridges, etc; accidents can occur getting on and off the tube; changing weather conditions, storms or even lightening are possible; exposure to the natural elements can be uncomfortable and/or harmful and the student and/or parent is aware that this expose could cause sunburn, dehydration, heat exhaustion, heat stroke, heat cramps, hypothermia or fatigue, some or all of which may diminish the student or other participants’ ability to react or respond; the student and/or parent understand that prolonged exposure to cold water can result in “cold water immersion”syndrome or “cold shock”, hypothermia, etc; the student may encounter dangerous wildlife, insects,etc. **All Lake Activities is including those listed above but not limited to.** Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive,and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. DNOW Weekend 2021 First Baptist Church Naples. 0000 Xxxxxx Xxxxxxx Xxxxx, Xxxxxx, XX 00000 The (DNOW 2020) Activity and the related risks and dangers to which your child may be exposed includes, without limitation, the following: Transportation by ground from First Baptist Church of Naples to surrounding Host Homes and to local beaches and/or beach state parks for outdoor worship and cookout during the weekend events. Students will engage in mission opportunities and activities such as but not limited to: soup kitchens, homeless outreach, pregnancy resource centers and other non profits, backyard Bible studies and evangelism; yard work and cleaning (indoors and outdoors); “door-to-door” and activities; baseball, basketball, soccer, ropes courses and other sports and recreational activities; children’s ministry including sports, puppets, Bible stories, crafts and coloring; choir singing in hospitals, school, churches and other places; revival, prayer, devotional and other services; shopping, eating, swimming in the ocean. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. Rock the Universe 2021 Universal Orlando Resort, 0000 Xxxxxxxxx Xxxxxxxxx Xxxxxxx, XX 00000 The (Rock the Universe 2020) Activity and the related risks and dangers to which your child may be exposed includes without limitation, the following: Travel by bus or van from First Baptist Church of Naples in Orlando fl and Hyatt Place Universal. Staying in hotel rooms at Hyatt Place Universal. Event activities include but are not limited to: Universal Orlando Resort theme park attractions, concerts and shows and Sunday morning worship with a local church. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. HSM Chili Bowl VIII (2021) First Baptist Church Naples. 0000 Xxxxxx Xxxxxxx Xxxxx, Xxxxxx, XX 00000 The (Chili Bowl 8) Activity and the related risks and dangers to which your child may be exposed includes, without limitation, the following: Tournament style flag football tournament(*Non Tackle) and other sports and recreational activities. Students grades will use the FBCN football field. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. FBCN Student Ministry Spring Break Mission Trips (2021) Instate and International Travel The (FBCN Student Ministry Spring Break Mission Trips) Activity and the related risks and dangers to which your student may be exposed includes, without limitation, the following: ground transportation within the state of Florida, international air and ground transportation; “door-to-door” and other types of evangelism; baseball, basketball, soccer and other sports; children’s ministry including sports, puppets, Bible stories, crafts, and coloring; choral singing in hospitals, schools, churches and other outside venues etc; revival, prayer, devotional and other services; shopping; eating; hiking mountains and volcanoes; zip lining; boat rides, paddle boarding, canoeing, kayaking; landsliding; and swimming in the ocean. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. Student Leadership University 101 (2021) Conference Center and Theme Parks in Orlando, FL The (Student Leadership University 101) Activity and the related risks and dangers to which your child may be exposed includes, without limitation, the following: transportation by ground from Naples, FL to Orlando, FL; rides and activities related to Universal Studios Theme Park and SeaWorld; transportation to and from conference center activities; swimming; and participation in conference sessions. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. I (we) include the following: Parent's Full Name (print ): Signature: Date: Other Parent Full Name (if relevant; print): Signature: Date: Child's Full Name (print ): DOB: Signature (if 14 or over ): Date: Home Address: Emergency contact information: Telephone Nos.: (H) (O) (C) Employer Name/Address: Medical Aid/Insurer: Policy Number: WITNESS 1 (required) Name (print): Signature: Date: Address/Telephone No: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me on , by Notary Public--State of Florida Personally Known Print Notary Name:

Appears in 1 contract

Samples: First Baptist Church Naples

Limited Power of Attorney for Medical Consent for Health Care of Minor Child. You authorize FBC to administer general first aid treatment for minor injuries or illnesses experienced by you or your child (whichever is relevant) when participating in the Activity except for the following first aid treatment: You also authorize FBC, in the event that you are disabled, cannot be contacted or if any urgency dictates, to act in loco parentis for your child in respect of any circumstances, including any accident or illness, which may necessitate medical treatment, including surgery, hospitalization, and administration of drugs or other therapeutic measures for the health, safety, and care of your child, and authorize and execute any informed consent for any such treatment or surgery which FBC, in its sole discretion, may deem necessary. Such consent shall have the same force and effect as though the undersigned were personally present and acting, and hereby ratifying and confirming whatever FBC does by authority of this instrument. Medical treatment for your child may also include dental surgery, x-ray, blood transfusion, anesthetic and medication, provided any such medical treatment is performed by a duly licensed practitioner. You hereby accept full liability for all costs incurred through such medical treatment for your child. You have the legal right to delegate such medical consent to FBC. A representative of FBC, the proxy decision maker, shall be an adult who is legally and medically competent to exercise the authority so delegated in this Agreement. HIPAA Release Authority. FBC (and its representative) shall be treated as you would be with respect to our rights regarding the use and disclosure of your child's individually identifiable health information or other medical records. This release authority applies to any information governed by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42 U.S.C. § 1320d and 45 C.F.R. §§ 160 through 164, and the Health Information Technology for Economic and Clinical Health Act ("HITECH Act"). You authorize any physician, health care professional, dentist, health plan, hospital, clinic, laboratory, pharmacy, or other covered health care provider, any insurance company, and the Medical Information Bureau, Inc. or other health care clearinghouse that has provided treatment or services to your child, or that has paid for or is seeking payment from you for such services, to give, disclose and release to FBC, without restriction, all of your child's individually identifiable health information and medical records regarding any past, present or future medical or mental health condition, including all information relating to the diagnosis of HIV/ HIV/AIDS, sexually transmitted diseases, mental illness, and drug or alcohol abuse. The authority given FBC shall supersede any other agreement that we may have made with your child's health care providers to restrict access to or disclosure of your child’s individually identifiable health information. The following are your child's only known special medical conditions or drug intolerances of which FBC should be aware: (Please list allergies, tendency toward abnormal bleeding, epilepsy, etc.) Prescribed or other medications or drugs that your child takes include: This Limited Power of Attorney shall remain in full force and effect until revoked in writing, and any party dealing with FBC (and its representative) during such time shall be fully protected and is hereby discharged, released and indemnified from so doing in respect of any matter relating hereto here to unless such particular party shall have received prior notice in writing of the revocation of this Limited Power of Attorney.

Appears in 1 contract

Samples: First Baptist Church Naples

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Limited Power of Attorney for Medical Consent for Health Care of Minor Child. You authorize FBC to administer general first aid treatment for minor injuries or illnesses experienced by you or your child (whichever is relevant) when participating in the Activity except for the following first aid treatment: You also authorize FBC, in the event that you are disabled, cannot be contacted or if any urgency dictates, to act in loco parentis for your child in respect of any circumstances, including any accident or illness, which may necessitate medical treatment, including surgery, hospitalization, and administration of drugs or other therapeutic measures for the health, safety, and care of your child, and authorize and execute any informed consent for any such treatment or surgery which FBC, in its sole discretion, may deem necessary. Such consent shall have the same force and effect as though the undersigned were personally present and acting, and hereby ratifying and confirming whatever FBC does by authority of this instrument. Medical treatment for your child may also include dental surgery, x-ray, blood transfusion, anesthetic and medication, provided any such medical treatment is performed by a duly licensed practitioner. You hereby accept full liability for all costs incurred through such medical treatment for your child. You have the legal right to delegate such medical consent to FBC. A representative of FBC, the proxy decision maker, shall be an adult who is legally and medically competent to exercise the authority so delegated in this Agreement. HIPAA Release Authority. Authority FBC (and its representative) shall be treated as you would be with respect to our rights regarding the use and disclosure of your child's individually identifiable health information or other medical records. This release authority applies to any information governed by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42 U.S.C. § 1320d and 45 C.F.R. §§ 160 through 164, and the Health Information Technology for Economic and Clinical Health Act ("HITECH Act"). You authorize any physician, health care professional, dentist, health plan, hospital, clinic, laboratory, pharmacy, or other covered health care provider, any insurance company, and the Medical Information Bureau, Inc. or other health care clearinghouse that has provided treatment or services to your child, or that has paid for or is seeking payment from you for such services, to give, disclose and release to FBC, without restriction, all of your child's individually identifiable health information and medical records regarding any past, present or future medical or mental health condition, including all information relating to the diagnosis of HIV/ HIV/AIDS, sexually transmitted diseases, mental illness, and drug or alcohol abuse. The authority given FBC shall supersede any other agreement that we may have made with your child's health care providers to restrict access to or disclosure of your child’s individually identifiable health information. The following are your child's only known special medical conditions or drug intolerances of which FBC should be aware: (Please list allergies, tendency toward abnormal bleeding, epilepsy, etc.) Prescribed or other medications or drugs that your child takes include: This Limited Power of Attorney shall remain in full force and effect until revoked in writing, and any party dealing with FBC (and its representative) during such time shall be fully protected and is hereby discharged, released and indemnified from so doing in respect of any matter relating hereto here to unless such particular party shall have received prior notice in writing of the revocation of this Limited Power of Attorney. Dispute Resolution You agree that the Bible commands us to make every effort to live at peace and to resolve disputes with each other in private or within the Christian community in conformity with the Biblical injunctions of I Corinthians 6:1-8, Xxxxxxx 5:23-24, and Xxxxxxx 18:15-20. Therefore, you agree that any claim or dispute arising out of or related to the Activity (including claims under federal, state and local statutory or common law, the law of contract, and law of tort) must be settled by Biblically-based mediation to be held in Naples, Florida and, if necessary, legally binding arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation, a division of Peacemaker® Ministries to be held in Naples, Florida. You shall bear your own costs of the mediation proceedings, including any attorneys' fees and witness expenses. Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction, provided that the arbitrator(s) are not authorized to issue a decision or award that a court of applicable jurisdiction could not legally award under applicable state or federal laws at the time. The arbitrator's award may be enforced by judgment in accordance with the Federal Arbitration Act. The prevailing party shall be entitled to recover reasonable attorney's fees and costs. You agree that these methods will be the sole remedy for any controversy or claim arising out of the Activity. You expressly waive the right to file a lawsuit in any civil court against FBC for such disputes, except to enforce an arbitration decision and except that a dispute over whether a decision exceeds the authority of arbitrator(s) will be decided by summary judgment proceedings in an applicable court of law. Attached list of activities… Summer Camp 2023 Lake Placid Camp and Conference Center, 0000 Xxxxxx Xxxx Xxxxx, Xxxx Xxxxxx, XX 00000 The (FBCN Student Ministry Summer Camp 2023) Activity and the related risks and dangers to which your child may be exposed includes, without limitation, the following: Ground transportation from First Baptist Church of Naples to Lake Placid Camp and Conference Center 0000 Xxxxxx Xxxx Xxxxx Xxxx Xxxxxx, XX 00000; spending the night in camp bunk style bed dormitories; “door-to-door” and all other types of evangelism; yard work and cleaning (indoors and outdoors); recreation time including; Low ropes course; zip line; paintball; baseball, basketball, soccer, volleyball, human foosball, and other sports and games; “messy games'' including but not limited to the use of: fruit (non-toxic paint), water, and other messy items; worship services including fog and other lighting effects; children’s ministry including sports, puppets, Bible stories, crafts and coloring; schools, churches and other places and other non profit mission outreach locations; revival, prayer, devotional and other services; shopping, eating; and swimming in the lake. Related risks and dangers include natural disasters, including but not limited to rain, lightning, wind, tornados, and hurricanes. Other activities may require individual forms such as zip line & paintball if provided. Students may participate in slip and slide activities; these activities could include, but are not limited to: kickball, hockey, tag and other competitive games. The games played on the slip and slides may encourage students to run, slide, race, stop quickly or other necessary procedures to effectively play. Soap, or other slippery substances may be used to aid students in sliding across the surface. By nature, slip and slides are slippery which may cause students to slip, fall, be knocked down, or collide into another student. Lake activities provide for swimming, canoeing, kayaking, water blob, trampoline, tubing, water slide, hammocking and other recreational activities; Other recreational Lake activities; Boat tubing, boarding a boat, riding a boat; encountering changing water flows, increased flows and the possibility that the student may be jolted, xxxxxx, bounced or thrown to and fro, separated from the tube or boat, etc. during rides through some of these changing water flows; the tube may break down or be faulty; it is possible that loss of control of the tube can occur resulting in collision or capsizing or sinking and that if a tube turns over or flips the student could be “washed” overboard; tubes are slippery when wet and are naturally unstable so that the student could slip and fall or be knocked out of the tube even in flat or non-moving water; while in the water the student may become disoriented, panicked, etc; the student can slip or fall during hiking or portaging or getting to and from the tube or tubing areas and the student and/or parent understands that the areas in which they may hike sometimes hides dangerous obstacles such as tree xxxxx, tree stumps, creeks on lake perimeter, etc; the tube or any portion of it may collide with or encounter other boats, man-made or natural objects including submerged or semi-submerged trees, rocks, branches, boulders, bridges, etc; accidents can occur getting on and off the tube; changing weather conditions, storms or even lightening are possible; exposure to the natural elements can be uncomfortable and/or harmful and the student and/or parent is aware that this expose could cause sunburn, dehydration, heat exhaustion, heat stroke, heat cramps, hypothermia or fatigue, some or all of which may diminish the student or other participants’ ability to react or respond; the student and/or parent understand that prolonged exposure to cold water can result in “cold water immersion”syndrome or “cold shock”, hypothermia, etc; the student may encounter dangerous wildlife, insects,etc. **All Lake Activities include those listed above but not limited to.** Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive,and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. 6th Grade Mission Retreat 2023 First Baptist Church Naples. 0000 Xxxxxx Xxxxxxx Xxxxx, Xxxxxx, XX 00000 The (FBCN Student Ministry 6th Grade Mission Retreat 2023) Activity and the related risks and dangers to which your student may be exposed includes, without limitation, the following: ground transportation within the state of Florida; “door-to-door” and other types of evangelism; baseball, basketball, soccer and other sports; children’s ministry including sports, puppets, Bible stories, crafts, and coloring; choral singing in hospitals, schools, churches and other outside venues etc; revival, prayer, devotional and other services; shopping; eating; and swimming in the ocean. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. Color Clash 2023 First Baptist Church Naples. 0000 Xxxxxx Xxxxxxx Xxxxx, Xxxxxx, XX 00000 The (Color Clash 2023) Activity and the related risks and dangers to which your child may be exposed includes, without limitation, the following: dodgeball, relay races, tug of war, and other recreational activities. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. Student Weekend 2024 First Baptist Church Naples. 0000 Xxxxxx Xxxxxxx Xxxxx, Xxxxxx, XX 00000 The (Student Weekend 2024) Activity and the related risks and dangers to which your child may be exposed includes, without limitation, the following: Transportation by ground from First Baptist Church of Naples to surrounding Host Homes and to local organizations for missions. Students will engage in mission opportunities and activities such as but not limited to: soup kitchens, homeless outreach, pregnancy resource centers and other non profits, backyard Bible studies and evangelism; yard work and cleaning (indoors and outdoors); “door-to-door” and activities; baseball, basketball, soccer, ropes courses and other sports and recreational activities; children’s ministry including sports, puppets, Bible stories, crafts and coloring; choir singing in hospitals, school, churches and other places; revival, prayer, devotional and other services; shopping, eating, swimming in the ocean. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity. HSM Chili Bowl XII 2024 First Baptist Church Naples. 0000 Xxxxxx Xxxxxxx Xxxxx, Xxxxxx, XX 00000 The (Chili Bowl 12 2024) Activity and the related risks and dangers to which your child may be exposed includes, without limitation, the following: Tournament style flag football tournament(*Non Tackle) and other sports and recreational activities. Students grades will use the FBCN football field. Each of these activities involves risks related to, among other things, negligence, intentional torts, and product defect. You understand that this explanation of the Activity and related risks and dangers is not exhaustive, and that it is your responsibility to investigate all of the potential risks and dangers related to the Activity.

Appears in 1 contract

Samples: First Baptist Church Naples

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