COVID-19 Waiver

Sign the waiver for each student attending youth activities.

by Student Ministry on February 21, 2021

Please submit the waiver for each student attending. Or you can download the form here.


The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. PHEFC has put in place some preventative measures to reduce the spread of COVID-19; however, PHEFC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, participation in our youth events could increase your risk of contracting COVID-19.


By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child may be exposed to or infected by COVID-19 by participation; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that there is a risk of becoming exposed to or infected by COVID-19 at PHEFC events.

INITIALS I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury my child(ren) (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation at PHEFC. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless PHEFC, and its volunteers, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence PHEFC, its employees, and representatives, whether a COVID-19 infection occurs before, during, or after participation at PHEFC.

INITIALS By signing this document, I agree that if my child is exposed or infected by COVID-19 during his or her time at PHEFC, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence.

INITIALS I agree that to the best of their ability my child will follow all safety guidelines laid out by PHEFC and will attempt to practice safe social distancing and clean hygiene during their participation at PHEFC.

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