We’re so excited you have signed up your child/children for our Destination Dig VBS event.  You have indicated that your child/children need transportation.  We need this form completed in order to put you on our transportation schedule.  If we do not have this form completed, we can’t provide transportation.

Transportation Waiver and Release

I, the undersigned, give my consent for my child / children registered for the Farm Faith Fresh event to be transported by Shiloh Baptist Church and I will assume all liability for their participation in this activity/event and any injury that may result during the transport or at the event/ activity. Further, by signing below: 1. I will not hold Shiloh Baptist Church and/or Heart for Monroe, its officers, agents, employees, assigns or anyone acting on its behalf, responsible or liable for injury occurring to the named person in the course of such activities or such travel. 2. I hereby accept financial responsibility for personal items lost by the person identified herein. 3. I authorize Shiloh Baptist Church to transport and to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the person in the course of such activities/events or such travel, and agree to accept the cost of the transportation and/or treatment by medical personnel or facility. 4. I accept full responsibility and hereby grant permission for my minor child to travel with Shiloh Baptist Church and Heart for Monroe. Transportation Permission: I do hereby give permission for my child registered for the Farm Fresh Faith event to ride in the Shiloh Baptist Church van driven by an approved and licensed member from Shiloh Baptist Church.

 

Transportation Safety

All children transported by Shiloh Baptist Church must adhere to safety rules. Children must remain seated and follow the staff’s directions at all times. Because of our safety requirements, any violation of this transportation policy may result in your child being prohibited from riding in the vehicle. Due to the seriousness of our safety concerns, we will notify parents immediately of any discipline problems that occur in our vehicles. THIS IS A RELEASE OF LIABILITY AND WAIVER. I HAVE READ THIS ASSUMPTION OF RISK, RELEASE OF LIABILITY, HOLD HARMLESS AND INDEMNIFICATION AGREEMENT AND CONSENT. I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY SIGNING IT. I AM SIGNING THIS ASSUMPTION OF RISK, RELEASE OF LIABILITY, HOLD HARMLESS AND INDEMNIFICATION AGREEMENT VOLUNTARILY.