Student Name *
Student Name
Parent Name *
Parent Name
Event Date *
Event Date
Parent's Emergency Contact *
Parent's Emergency Contact
Signature *
By typing my name below, I am allowing my child listed above to attend the the event listed above. I understand that they will be leaving Westwood Church and traveling, as a group, by rented, borrowed van, or private car when necessary. I understand all events will have adult supervision. In consideration of the benefits derived from the activities, I hereby voluntarily waive any claim against Westwood Church, the pastors, the sponsors, and the owner/driver of the car or bus furnishing transportation to any event. I further agree to direct my son/daughter to conform to the directions and instructions of the sponsors in charge. This consent and release is in effect until I give Westwood Church written notice to the contrary.