In order for my child, a minor, to take part in and receive the advantages of a program planned and sponsored by Salem Evangelical Church (SEC), Salem Oregon, I hereby give permission for them to participate in any or all of the trips included in After School Program of SEC from January 1, 2025-June 30, 2026.

I further acknowledge that transportation may be provided at the discretion of SEC in such form as is approved by the pastors and/or after school program leaders.

I acknowledge that my child's participation in activities and games entail known and unknown risks that could result in physical or emotional injury, paralysis, death, or damage to my child, to property, or to third parties. The risks include, among other things, certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. I agree and promise to accept and assume all of the risks existing in this activity. My child's participation in this activity is purely voluntary, and I elect to allow them to participate in spite of the risks. Activities the child may participate in are available upon request.

I hereby voluntarily release, forever discharge, and agree to defend, indemnify and hold harmless Salem Evangelical Church from any and all claims, demands, or causes of action, which are in any way connected with my or my child's participation in activities, facilities and equipment, including any such claims which allege negligent acts or omissions of SEC.

SEC may be taking pictures to update the church website and other promotional/informational media. By not checking the box below, I am giving my permission to have photos taken of my child. Names and personal information will not be posted unless approved by the parent/guardian.