Evergreen CEF

Bringing the Gospel of Jesus Christ to Lane County Children

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Good News Club Registration

Waiver & Registration Form - Only 1 child per form please

1. Release of Liability – “I give my permission to participate in Good News Club® activities. I understand accidents can happen when doing fun activities and accept the risk. I agree to send my child to GNC™ activities healthy.”
I understand that the opportunity to participate in Child Evangelism Fellowship Inc., et al (“CEF®”) activities is a privilege. I am signing this release of Liability form on behalf of myself or my minor child. I understand that my child or I may participate in any number of physical activities, some of which include, but are not limited to, recreational activities and games and events. I understand that there are certain risks of physical injury or illness associated with these activities. In addition, I understand that there may be other risks associated with activities of which I may not be presently aware.

By signing this release, I expressly assume these risks for myself or my minor child, whether they are known to me at this time and certify that I or my child is healthy and fit to participate in all CEF activities. I release Child Evangelism Fellowship, INC., including its affiliated chapters, affiliates, and their officers, directors, volunteers, employees, contractors and agents, and Youth for Christ/ USA, INC. including its affiliated chapters, affiliates, and their officers, directors, volunteers, employees, contractors and agents, from any claim that I or my child may have now or in the future against them for any accidental physical or other personal injury, loss or personal property, illness or death caused by infectious and/or contagious diseases or sickness while at any CEF activities, and/or any medical responses to the same, as well as any other claims arising from participation in CEF, INC., activities. This Release of liability shall cover (without limitation) all claims for negligence and breach of fiduciary duty asserted by my child, myself or any person made on their behalf. This release specifically covers claims caused in whole or in part by any U.S. national health crisis, epidemic, pandemic, or World Health Organization. CEF reserves the right to follow recommended CDC guidelines related to such pandemic, outbreak or disease and as such may choose at any time to send a participant home if presenting signs of sickness.

2. INDEMNIFICATION – “I agree to hold CEF harmless.”
I hereby agree to defend, indemnify and hold CEF, INC., including its chapter affiliates, their directors, volunteers, employees, contractors and agents, and Youth for Christ/ USA, INC. including its affiliated chapters, affiliates, and their officers, directors, volunteers, employees, contractors and agents, harmless from any liability asserted by me or my child subsequent to his or her 18th birthday, including reasonable attorney’s fees and costs.

3. AUTHORIZATION FOR MEDICAL TREATMENT – “If an accident happens and if I cannot be reasonably reached, I give permission for emergency medical treatment and promise to cover medical costs if treatment is needed.”
I understand it may be necessary to have a medical consent form present for medical professionals in the unlikely event of an injury or condition requiring medical treatment of me or my child. This form gives CEF and its personnel the permission to take me or my child to the nearest, capable medical facility and have any necessary emergency treatment administered.

IF PARTICIPANT IS A MINOR: IN CASE OF EMERGENCY, I UNDERSTAND THAT EFFORTS WILL BE MADE TO CONTACT ME; HOWEVER, IF I CANNOT BE REACHED, I HEREBY GIVE CEF, INC. AND ITS REPRESENTATIVES THE PERMISSION TO ACT ON MY BEHALF IN SEEKING EMERGENCY MEDICAL TREATMENT FOR MY CHILD IN THE EVENT THAT SUCH TREATMENT IS DEEMED NECESSARY OR ADVISABLE FOR MY CHILD’S HEALTH, SAFETY AND WELFARE. I GIVE PERMISSION TO THOSE ADMINISTERING MEDICAL TREATMENT TO DO SO, USING THE MEASURES DEEMED NECESSARY. I RELEASE CEF, INC. ITS REPRESENTATIVES, AND ALL MEDICAL PROVIDERS FROM LIABILITY IN ACTING IN THIS REGARD AND RENDERING SUCH MEDICAL TREATMENT. I WILL BE FULLY RESPONSIBLE FOR ALL SUCH MEDICAL EXPENSES.

4. MEDIA RELEASE - “CEF can use pictures and other media of me or my child participating in CEF activities for promotional purposes.”
I hereby grant permission to CEF, INC the right to use, reproduce, and/or distribute any photographs, film, video and sound recordings of me and my child, without compensation or approval rights, for use in materials created for purposes of promoting the future activities or CEF, INC.

5. BEHAVIORAL AGREEMENT – CEF hates sending participants home, but sometimes they have to. I recognize that.”
I understand that illegal, immoral activity, or behavioral issues may result in the name participant being sent home at the expense of the parent/guardian. Activities would include but are not limited to: reasonable belief of possession and/or use of drugs, alcohol, weapons; sexually aggressive and /or inappropriate behavior; stealing; fighting; etc. CEF leaders will make reasonable effort to contact the parent/guardian to make arrangements before a participant is sent home.

6. PERSONAL RESPONSIBILITY - “CEF is not responsible to get your child home, after Good News Club.”
I understand that it is my responsibility to pick up or make sure my child has a safe way to get home after Good News Club is over at 7:30 pm on Monday nights.

Registration Information

By signing and submitting this form I represent that I am the legal parent/guardian of the child named above, who is under 18 years of age. In consideration for allowing my child to participate in this activity and ongoing CEF activities, I hereby consent to the foregoing on behalf of my child and agree that this release shall be binding upon me, my child, our heirs, legal representatives and assigns.

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Good News Club

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Recent Posts

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Contact

Phone: 541-342-8682 

Address: 834 Monroe Street Eugene, OR 97402

Mailing Address: PO Box 71635 Springfield, OR 97475

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Jesus said, “Let the little children come to me, and do not hinder them, for the kingdom of heaven belongs to such as these.”