YM Youth Registration

I hereby authorize the North District and the adult leaders from its participating churches serving as ministry staff to administer the medications as listed above. In order for my child to receive necessary medical treatment from medical staff and/or physicians in a medical clinic or hospital in case of illness or injury, I hereby consent to and authorize the ministry staff to obtain and consent to medical treatment for such illness or injury during the activity or activities of the North District. It is understood that this authorization and consent is given in advance of any specific diagnosis or treatment and is given to encourage those persons who have temporary custody of the Participant, in my absence, and medical staff to exercise their best judgment as to the requirements of such diagnosis or said medical treatment. This medical consent will remain effective until January 18, 2027. I understand that any and all medical expenses incurred are my responsibility.

I hereby give my permission for the Participant to be transported in any vehicle designated by any ministry leader designated by the North District, and in whose care the Participant has been entrusted while attending and participating in an activity or activities of insert the North District.

In consideration of the North District here allowing my child to participate in activities referenced above, I agree to release and hold harmless the North District, its officers, agents and/or designated leadership, from any liability to or responsibility for bodily injury, damage, or illness to my child while participating in any youth athletic or social activity which may be directly or indirectly sponsored by the North District. Further, I agree to indemnify and hold harmless the North District, its officers, agents and/or designated leadership with respect to any claim asserted by or on behalf of my child as a result of bodily injury, illness, or damage.

I hereby grant permission to the North District and its participating churches to use any still and/or moving image (video footage, photographs, and/or audio footage) depicting my child/dependent on the district and/or church’s website, social media groups, or other online and/or printed publications without further consideration. I acknowledge the North District and its participating churches have the right to alter the photograph(s) at their discretion. I also acknowledge that the North District and its participating churches may choose not to use my child/dependent’s photograph(s) at this time, but may do so at a later date, up to 2 years from the date of the photograph was taken. I also understand that once an image is posted on the website or other online platform, the image can be downloaded by any computer user, anywhere in the world. The North District and its participating churches commit to eliminating any identifying information including name and age from the publication. I hereby waive any right I may have to inspect and/or approve the finished product or the copy wherein my child/dependent’s likeness appears, or the use of which it may be applied.

I hereby release, discharge, and agree to indemnify and hold harmless the North District, its participating churches, its officers, agents and/or designated leadership, from all claims, demands, and causes of action that I or my child/dependent have or may have by reason of this authorization or use of my child/dependent’s photographic portraits, pictures, digital images, or videotapes, including any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said images or videotapes, or in processing tending towards the completion of the finished product, including, but not limited to, publication on the internet, in brochures, or any other advertisements or promotional materials.

I understand that, while the district and its representatives will do their best to clearly identify those who are not to appear in pictures, refrain from including them in group shots, and filter out photos of these individuals from any shared pictures, with the number of people using cameras at the event they cannot fully guarantee this individual’s likeness will not be captured or posted.