Registration Form

I grant Northern Life Church permission for video recordings and digital photographs to be taken during the NLC Events my child is attending. I understand that the recordings and images collected will be used for non-profit church ministry purposes only.

I authorize Northern Life Church to use my child | children’s image on its social media platforms, promotional videos and or in printed promotional materials without further consideration and I acknowledge Northern Life Churches right to treat the media (such as cropping) at its discretion. Note: No names of children will be identified.

Medical Release: I (we) also understand, precautions are taken for the safety and health of your child, but in the event medical treatment is required, every effort will be made to contact me. However, if I cannot be reached I give my permission to a licensed medical practitioner to provide the care necessary, special medication, x-rays or treatment, including anaesthesia, for my child’s well-being. In the event of accident or sickness, Northern Life Church, its staff, and its volunteers are hereby released from any liability. In case of surgical emergency, I hereby give permissions to the physician selected by Northern Life Church to hospitalize, secure proper treatment for, and to order injection, anaesthesia or surgery for my child as named above. (Your child must be covered by Provincial Health Insurance or equivalent medical insurance.) This Disclaimer of Liability and Release of Claims is to be executed by the participant, or if the participant is a minor, by the participant’s parent/guardian. The Application for Program Registrations (“Application”) will not be accepted unless it has been executed.

In consideration of the Northern Life Church accepting this Application I agree to this disclaimer of Liability and Release of Claims. Disclaimer: The participant assumes all risks associated with his or her participation in the programs offered by Northern Life Church. Northern Life Church accepts no liability for bodily injury, death, property or loss due to any cause whatsoever, including, without limitation, negligence on the part of the Northern Life Church, including its elected officials, employees, agents and volunteers. Release: The participant and his or her parents/guardians waive any and all claims they may now and in the future may have against, and release from all liability and agree not to sue, the Northern Life Church and its elected officials, employees, agents and volunteers. This release includes all claims for bodily injury, death, property or loss sustained by the participant as a result of his or her participation in the programs and activities offered by Northern Life Church including, without limitation, negligence on the part of the Northern Life Church, its elected officials, employees, agents and volunteers. I hereby give permission for Northern Life Church staff to take photographs of my child, children or myself.

I confirm that I have read this agreement before signing it and that I understand it and that it is binding not only on me and the participant but also on our helps, executors and and assigns. This application will not be accepted unless signed. Consent extends beyond the current year, and remains until withdrawn in writing to the church.