The Clay Youth Ministry Annual Travel Waiver and Release Form

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Scope of Waiver

 This waiver applies to all events, activities, and trips organized by The Clay Youth Ministry at The Potter’s House Church, Camdenton, MO, during the 2025/2026 school year (September 2025–August 2026), including but not limited to weekly gatherings, Life Groups, summer camp, mission trips, and off-site events.
Participant Information

 
 
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Waiver and Release of Liability

I, the undersigned parent/guardian of the above-named student, grant permission for my child to participate in all events, activities, and trips organized by The Clay Youth Ministry at The Potter’s House Church, Camdenton, MO, during the 2025/2026 school year. I understand that these activities may involve travel, physical activities, and interaction with others, which carry inherent risks, including but not limited to injury, illness, property damage, or other unforeseen incidents.


In case of emergency, I authorize The Clay Youth Ministry staff or volunteers to seek medical treatment for my child if I cannot be reached.


In consideration of my child’s participation, I hereby release, waive, discharge, and covenant not to sue The Clay Youth Ministry, The Potter’s House Church, its staff, volunteers, or affiliates from any liability, claims, demands, or causes of action arising from injury, loss, or damage during any ministry event, except in cases of gross negligence or willful misconduct.


I agree to indemnify and hold harmless The Clay Youth Ministry and its affiliates from any claims resulting from my child’s actions or failure to follow instructions. I confirm that my child has no medical conditions that would prevent safe participation, or I have disclosed such conditions below:


 

Insurance Information

 
 
 
 
 
Behavioral Expectations

I understand that my child is expected to adhere to The Clay Youth Ministry’s code of conduct, including respectful behavior, compliance with safety guidelines, and cooperation with leaders. Failure to comply may result in my child being sent home at my expense.

The Clay Youth Ministry Youth Code of Conduct

As members of The Clay Youth Ministry at The Potter’s House Church, Camdenton, MO, we are called to be ambassadors for Christ (2 Corinthians 5:17–20), reflecting His love and truth in our words and actions. By participating in youth activities, including weekly gatherings, Life Groups, trips, and events, you represent Jesus, The Clay, your family, and yourself. This Code of Conduct applies to all students (6th–12th grade), whether members, regular attendees, or visitors, to ensure a safe, respectful, and Christ-centered community.

General Expectations:


Maintain a positive attitude that honors Jesus and encourages others.


Show respect and kindness to everyone—peers, leaders, and those outside our group—through your actions and words.


Treat facilities and property with care, leaving spaces better than you found them.


Use appropriate language and behavior that aligns with our faith and values.


Stay with the group during activities and follow safety guidelines, including the Rule of Three (no student alone with an adult).


Abstain from alcohol, drugs, tobacco, or any illegal or inappropriate substances.


Avoid disruptive or unsafe behavior during activities or trips. Leaders, under the direction of Pastor Austin, will determine what constitutes disruptive behavior, and violations may result in a parent/guardian being contacted to pick you up at your expense.


Commitment: We are a family rooted in faith, fun, and community. Your participation helps build a place where every student is known, loved, and challenged to grow in Christ. Let’s make a positive impact together!

Media Release

I grant permission for The Clay Youth Ministry at The Potter’s House Church, Camdenton, MO, to use photographs or videos of my child taken during ministry events for promotional purposes, including but not limited to social media, church website, or printed materials. I understand that all media will align with the ministry’s values and safety guidelines, and no sensitive personal information will be shared without my consent.

Electronic Signature Acknowledgment

By typing my name below, I acknowledge that it serves as my electronic signature, indicating my full understanding and agreement to the terms, commitments, and responsibilities outlined in The Clay Youth Ministry Annual Travel Waiver and Release Form.

 
 

Description

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