Emergency Contact (긴급 연락처)
To ensure the safety of our students, we will be taking the follow precautions:
1) We are encouraging our students and leaders to be vaccinated before attending the retreat.
2) If student is not feeling well before the retreat, please stay home. This is to ensure the safety of the student as well as everyone going to the retreat.
Parent/Guardian Permission
PARENTAL CONSENT & CANCELLATION POLICY 학부형 참가 동의서
본인은 위 학생의 보호자로서 이 학생이 와싱톤 중앙 장로교회 영어 중고등부에서 주최하는 수련회에 참가하는 것을 허락하며, 교역자와 교사들의 지도에 순종하며 규칙에 따를 것을 약속합니다. 아울러 비상시에는 필요에 따라 의료기관을 통한 치료를 허락합니다. 또한 등록 취소시 07/30/2024 까지 취소할 경우에만 등록비 일부를 받을수 있고 그 이후에는 환불이 불가능함을 인정합니다.
I, the legal guardian of the above named student, give permission for my child to participate in KCPC's retreat program and promise that the student will obey rules and the guidance of the leaders. Furthermore, I grant permission to receive necessary medical attention in case of emergency. I also understand that in case I need to cancel my child's registration, I will not be refunded unless I cancel by 07/30/24. NO REFUND will be given after this date.
MEDICAL RELEASE, PERMISSION, AND INDEMNIFICATION 의학적 유출 허가 및 면책
본인은 미성년자인 위 학생의 보호자로서 이 학생이 교회가 주최하는 행사에 참석하는 것에 동의함에 서명합니다. 본인은 사역이나 운동 행사에 내재된 위험을 인지하며, 모든 행사 중에 내 자녀에게 발생할 수 있는 개인적인 상해, 또는 피해에 대한 모든 책임을 교회, 목회자, 직원, 대리인 및 자원봉사자들에게 전가하지 않을 것을 동의합니다. 내 자녀가 부상당했을 경우에는 면허있는 의사가 필요하다고 판단될 시, 합리적인 의료 조치에 동의합니다. 단 이 때 발생하는 손해에 대한 청구 및 소송을 무해하게 유지하는데 동의합니다. 또한 해당 의료 비용이 위의 보험 제공자에 의해 상환되지 않으면 모든 의료 비용에 대한 궁극적인 책임이 본인에게 있음을 인정합니다. 위에 기재한 건강 보험 정보는 정확한 이 날짜에 여전히 위의 학생에게 효력이 있음을 확인합니다. 만약 내 자녀가 더이상 행사에 참여가 불가능하다고 판단될 시, 본인 부담으로 집으로 귀가할 것을 동의합니다.
I/We the undersigned have custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by the Church by clicking the submit button. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child's involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the student ministries staff member.
By inputting my name as the parent/guardian, I acknowledge that I have read through this entire document and agree to all terms and conditions stated above.
If you will be paying by check, please fill out this form:
CHECK registration
Instructions for the checks will be in the form.
