Voltage Day Camp Permission Form 2025

This form must be read and signed by a parent or guardian of a participating student who is under the age of 18.

 
Activity SPECIFIC Details

Voltage Day Camp - Kids will participate in a variety of indoor and outdoor games and activities.  Kids will have outside time in the park behind the church and at Willowpark School playground, no transportation required (walking).

Supervision provided by: City Life Voltage Team - Leaders JD Hornbacher and Shayna Admiraal 

Date: August 19-21/2025

All physical activities have risks. I agree to allow my child to participate in this event knowing there are physical risks and hazards inherent in an activity.
This event is NOT identified as a higher risk activity. (Higher risk activities may include such activities as: camping, canoeing, rafting, rock climbing, sailing, skateboarding, skiing, snow boarding, swimming, tubing, and waterskiing.)

Request for Permission to Participate

I voluntarily agree to allow my child to participate in this event. By voluntarily allowing participation, I agree that I am exposing my child to inherent risks and hazards. I agree to accept all risks and hazards and be responsible for any injury or other loss which may occur during the participation of my child.
I have read the information above, and I release City Life Christian Centre Church & Ministries Alberta and all of its employees or volunteers from any and all liability for any and all harm arising to my son/daughter as a result of this trip, and waive any claims against them.

Agreement with Child

Release of Liability

This is a legal document. By signing this document you are agreeing to give up certain legal rights, including the right to sue or claim compensation. You are also assuming certain obligations, please take the time to read before you sign.
This agreement releases City Life Christian Centre Church & Ministries Alberta from all liability relating to injuries that may occur at City Life Church and during Voltage Daycamp. By signing this agreement, I agree to hold City Life Christian Centre Church and Ministries Alberta entirely free from any liability, including financial responsibility for injuries incurred.
I hereby acknowledge that I have voluntarily joined in Voltage Day camp activities on August 19-21/2025
I also acknowledge the risks involved in games & activities. These include, but are not limited to broken bones, head injuries, cuts, etc. I confirm that I am participating voluntarily, and that all risks have been made clear to me. Additionally, I do not have any physical or medical conditions that will increase my likelihood of experiencing injuries while engaging in this activity. I may receive instruction from City Life leader in connection with my participation in these activities, including encouragement to participate safely, but I acknowledge that in all events I accept that it is my responsibility to become adequately informed and trained or skilled with regard to the activities to be undertaken so as to avoid injury. 
I understand that my participation in Voltage Day Camp may have undesired and unanticipated consequences. Notwithstanding this, I hereby release and forever discharge City Life Christian Centre Church and Ministries Alberta and all affiliates, members, directors, leaders, volunteers and employees from any and all actions, causes of action, suits, claims, demands, liabilities, including negligence or breach of duty of care, and expenses I have now, or may have in the future in connection with, arising from or related to my involvement with or participation in this activity. I will also make every effort to obey safety precautions as listed in writing and as explained to me verbally. I will ask for clarification when needed.