Magnify Church

2022 - Teens Worship Arts Camp

2022 - Teens Worship Arts Camp

If emergency medical procedures or treatments are necessary during the event, I authorize Magnify Church staff or representatives to arrange for and consent to the procedures or treatment. I recognize that any medical treatment that is provided while attending a Magnify Church activity/trip will be paid for by me or my insurance company.

Waiver and release of liability: In consideration of the minor’s participation, I hereby waive and release the officers, agents, employees and volunteers of Magnify Church from any and all claims that I or my minor may have for losses, damages, or injuries arising out of or resulting from my minor’s participation in the program, whether or not caused by the negligence of the officers, agents, employees or volunteers of Magnify Church. I HAVE READ AND VOLUNTARILY SIGN THIS WAIVER AND RELEASE OF LIABILITY AND PERMISSION FORM.

I verify that the applicant is in good health and is capable of participating in strenuous activities, and when necessary, will tailor activities to those within the bounds of applicant’s physical health. The applicant also agrees they will cooperate with leaders and other staff, and applicant’s behavior will be honoring to God.

Authorization to use picture, name, voice and likeness: I hereby, on behalf of myself, my heirs, executors and administrators, sell, grant, assign and deliver to Magnify Church, its subsidiaries and affiliated companies, its successors, agents, licensees and assigns (Magnify Church), and those acting under its permission or upon its authority, the exclusive right to own, copyright, use, reproduce, publish, license, assign, display, retouch and/or alter at any time and in any media, now known or hereafter developed for any lawful purpose, photographic and/or audio visual materials including my image and any recording of my voice associated therewith, and to make any changes and/or additions thereto, or derivative works there from, for reproduction and/or publication in conjunction with either my own or fictitious names, testimonial copy, or otherwise. I specifically waive and surrender any claim which I may now have or hereafter have that use of the work referenced above would constitute an invasion of my privacy. I release Magnify Church of any compensation or financial claim by me as a result of these recorded images or said project. I hereby warrant that I am of legal age and have every right to contract in my own name, or that I am the parent, legal guardian, or authorized agent of the talent whose name appears below. I state further that I have read this agreement, prior to its execution, and that I am fully familiar with the content thereof. This contract constitutes the entire agreement between Magnify Church and me and supersedes any and all other agreements, statements, representations and understandings, whether made verbally or in writing, concerning the subject matter of this agreement and may only be modified in writing signed by Magnify Church.

Date/Time:
6/20/2022 4:00 PM - 6/26/2022 9:00 PM
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Location
Rockford, 6727 Kuttshill Rd, 49341
Contact:
Becky Behrens
616.866.9597 x142
[email protected]