Parents/Guardians Only
Participation, Travel and Hold Harmless Agreement
By signing and dating this form below, I, the undersigned, give my child/children permission to participate in Revelation Evangelistic Ministry's, Faith & Hard Works Ministry's Inc. Prosperity Academy & Community Center Programs and to travel with the Faith & Hard Works Ministry Inc, YMCA, Salvation Army, Washburn University, Kansas State University, Heartland Works, Topeka Workforce Center, Stardusters Crime Prevention Inc., Topeka Community Foundation, state of Kansas, City of Topeka, Shawnee County Government, Kansas Black Expo, Moses Project, and Neighborhood Academic & Athletic Association, the Christian & Agricultural College Preparatory High School.
I also Hold Harmless the organizations listed above, their staffs and Volunteers in cases of accidental injury, or loss of Property as a result of my child/children's Participation in the various Neighborhood Academic & Athletic Association's Pro-gram.
I also realize that the above listed agencies will not cover any medical cost associated to injuries to my child/children as a result of their participation in these programs and I also realize it is my insurance that will cover all medical cost associated to my child/children's participation in this program.
I also give the Staff & Volunteers permission to seek medical attention for my child/children in my absence, My child/children have had a Medical Physical within the last year and have been cleared for participation.
