The following information will be held securely at the Wabash Church of the Nazarene and used only for events and/or trips in the case of an emergency where the parent or guardian cannot be reached.

PARENT/GUARDIAN APPROVAL, HEALTH INS., & WAIVER OF CLAIM

I hereby approve of my child/teen to participate in the activities of the Wabash Church of the Nazarene Children’s Department and/or Youth Group and expressly waive any and all claims against the Wabash Church of the Nazarene, or the Church of the Nazarene denomination, or any of its districts, including the Northeast Indiana District, or its representatives (local, district, and/or global) because of injury or other damage that may be incurred to my child/teen whose name is listed below or any property belonging to them that is damaged at or during any and all church sponsored events. Furthermore I give permission to the church approved adult sponsors to act in my place in the event of a medical emergency until such a time as I am able to assume the responsibility myself. I also verify that the following insurance information is both true and accurate. Should any of the information below change between now and Dec 31, 2018, I will let the Wabash Church of the Nazarene know before allowing my child/teen to participate in any off-site events.

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    By clicking "agree," you agree to the above waiver.