Liability Release

This consent form gives permission to seek whatever medical attention is deemed necessary and releases NorthPointe Community Church and its staff of any liability against personal losses of named child.

I/We the undersigned have legal custody of the child named above, a minor, and have given our consent for him/her to attend events being organized by NorthPointe Community Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event that treatment is required from a physician and/or hospital personnel designated by NorthPointe Community Church, I/we agree to hold such person free and harmless of any claims, demands or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the child named above. I/We also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the NorthPointe Kids Staff.

NORTHPOINTE COMMUNITY CHURCH RESERVES THE RIGHT TO USE ANY AUDIO, VIDEO AND/OR PHOTOGRAPHY OF STUDENTS ON ANY OF THE ABOVE ACTIVITIES.

Hartland Preteen Summer Camp 2026