Child/Youth Release Form

The Episcopal Diocese of San Diego 2017 Diocesan Convention Release of Liability

For and in consideration of the participation in the trip to the diocesan convention of the Episcopal Diocese of San Diego.

I acknowledge and agree that:

  1. By virtue of my participation I risk serious bodily injury;
  2. I knowingly and freely assume all such risk;
  3. I (we), the undersigned parent(s)/guardian(s) do release, hold harmless and promise not to sue the Episcopal Diocese of San Diego, their officers, agents, employees, with respect to any and all such injury, except that injury or loss which results from gross negligence or willful or wanton misconduct of one of those individuals or organizations.
  4. I will inform my child that he/she must follow all safety rules and instructions or directions given during participation in the trip, and that my child’s failure to follow instructions may result in my obligation to retrieve my child if requested.  My child and I (we) realize that participation in the trip is voluntary.
Please select a valid form