Camp 56 Crossings & Medical Waivers

  • If the counselor is under the age of 18
  • I do authorize Crossings Community Church to use any photograph/video taken at any event sponsored by Crossings Community Church in publications or other media material produced, used or contracted by Crossings Community Church including but not limited to: brochures, invitations, books, newspapers, magazines, television, websites, etc. Any person desiring not to have their child(ren)’s photo taken or distributed must contact Jill Poe-Thompson, Crossings KIDS Pastor, at jpoe-thompson@crossings.church. ^includes all campus locations—Crossings Community Church, Crossings Edmond, Crossings Christian School, Crossings Community Center & Clinic, Crossings Comunidad Cristiana—as well as events held at off-campus locations
    I hereby release Crossings Community Church (CCC), and its staff, director, employees, and/or volunteers from all claims, actions, damages, and liabilities arising out of or related to any treatment of illness or accident incurred during this trip. I further release CCC and its staff, directors, employees, and/or volunteers from any liability for any injury or illness that the above listed might sustain during this trip. In the event of an emergency, I hereby authorize an adult leader of this event to act as an agent for me, to consent to an x-ray supervised by a physician, surgeon or dentist (as appropriate) licensed to practice under the laws of the state where the services are rendered, whether at a doctor’s office or any hospital. I also acknowledge that all financial debts incurred are my responsibility and not that of CCC, their staff or volunteers.