On behalf of the Minor Child(ren) Listed Above, I, the undersigned give my permission for their participation in Pen-Florida District Kids Camp (hereafter the “activity”) on the grounds of Masterpiece Gardens, 3900 Great Masterpiece Rd, Lake Wales, FL 33898, from July 29-August 2, 2024. I declare that I have guardianship and legal authority to give permission and take absolute responsibility for their actions and care. I also recognize that this activity may have promotional video and/or photography recorded to be used in the ongoing operations of Church of Hope and do further grant Church of Hope the right to publish my child’s image and activity in any published promotional material, print or video, whether used on-site or via the internet, free from claim for such usage.

I recognize that there are risks involved in participating in this activity and hereby assume all risk of injury, harm, damage, or death in connection with my child’s participation in this activity. I understand and agree that neither Church of Hope, Energize, and its Children’s Ministries Department, nor its pastors, trustees, officers, directors, employees, agents, or representatives may be held liable in any way for any injury, harm, damage, or death that may occur as a result of my child’s participation in this activity and hereby release Church of Hope, Energize, and its Children’s Ministries Department, its pastors, trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death, which may occur while my child(ren) Listed Above is participating in the activity. To the fullest extent permitted by law, I agree to save and hold harmless Church of Hope, Energize, and its Children’s Ministries Department, its pastors, trustees, officers, directors, employees, agents, and representatives from any claim by myself, my estate, heirs, successors, assigns or other persons arising out of my child’s participation in the activity.

In addition to the normal risks, I further state that I understand and expressly acknowledge that an inherent risk of exposure to COVID-19 exists in any public place where people are present. On behalf of yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless Church of Hope, Energize, and its Children’s Ministries Department, and its pastors, employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to my child(ren) Listed Above participation in our programs, services or activities. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any such program, service, or activity.

I authorize Church of Hope, Energize, and its Children’s Ministries Department through its pastors, trustees, officers, directors, employees, agents, or representatives to render or obtain such emergency medical care or treatment as may be necessary should any injury, harm or accident occur to my child(ren) Listed Above, while participating in this activity.

I further understand and acknowledge that Church of Hope, Energize, and its Children’s Ministries Department does not provide health or medical insurance in connection with the activity, and I agree that I will be financially responsible for any bills incurred as a result of medical treatment, including emergency medical treatment and/or transportation to a medical facility, in connection with my child’s participation in the activity.