Please leave Email and/or Mobile blank, if the student does not have their own.

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Parent/Guardian Information

Emergency Contact Information

Ex: Another parent/guardian or family member over the age of 18.

Please read the required waiver and sign below:


Dear Parent/Legal Guardian:

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. As a result, federal, state, and local governments and agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. We are doing everything we can to be compliant with all regulations and ensure your safety. We have put in place preventative measures to reduce the spread of COVID-19, but we cannot guarantee that you or family members will not become infected with COVID-19.

By participating in programs, services, and activities of our Organization, you agree to the following:

On behalf yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless The Crossing, a Christian Church, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any hosted or programmed event by this organization.

Type your First and Last Name. A parent/guardian must sign for the student.