Medical Information
Signed Care Plans on file with the Nurse’s Office will be followed.
Does your child have new or temporary medical conditions or needs that are not on file with the Nurse's Office?
If yes, please follow this link to update all necessary information in the FACTS Family Portal. You do not need to complete this section if your child’s medical information in FACTS is current.
Background Check
All chaperones must complete our Background Check form. Background checks are valid for two years. If you are unsure of your status, please contact the Eagles Office.
This is a legal agreement that contains a release of claims. Please read carefully.
In consideration of Life Center and/or Life Christian Academy, a ministry of Life Center, (referred to collectively as "Life Center") allowing me, or my child, (Participant) to participate in the Activities that are sponsored by, hosted by, or otherwise related to Life Center, I agree as follows:
1. Authority. I am the parent or legal guardian of the Participant and have authority to enter into this Agreement. I represent that: (a) I have authority to enter into this Agreement on behalf of anyone else who has legal rights regarding the Participant; or (b) everyone else with legal rights regarding the Participant has signed this release.
2. Voluntary Participation. I agree that my minor Participant’s involvement in the Activities is voluntary.
3. Risk of Serious Injury or Death. I understand that the Activities could involve risks that may result in serious injury or death. These risks may include, but are not limited to, strenuous physical exertion, falls or other accidents, extreme conditions, lack of available medical care, and the negligence of Life Center or other third parties. I voluntarily assume all such risks.
4. No Duty to Act on Conditions Specific to Participant. I understand and agree that Life Center is not qualified to provide medical evaluation or treatment and that the number of participants may limit the ability of Life Center to provide special care or attention to an individual Participant. I understand and agree that Life Center has no duty to utilize the information above regarding medical conditions or other limitations faced by me or minor Participant. Signed Care Plans will be followed as agreed upon.
5. Authorization to Engage Medical Treatment. I grant permission for Life Center to authorize medical treatment for me or minor Participant, to call 911 for emergency medical aid, or take other measures to secure medical treatment if, in Life Center’s sole and absolute judgment, I or minor Participant becomes ill, sustains an injury, or otherwise requires medical treatment. I give consent to any physician, emergency aid responder, or other health care provider to administer drugs or medicine or to perform such medical treatment as such person determines necessary for the relief of pain or to preserve my or minor Participant’s life or health. I assume full responsibility for all medical, rescue, transportation, and other expenses incurred on behalf of myself or minor Participant and understand I may be required to fully and immediately reimburse Life Center for any of these expenses that Life Center, in its sole and absolute discretion, chooses to advance.
6. Coverage of Medical Expenses. I understand that the effect of this release means that Life Center’s liability insurance, and the liability insurance of any co-sponsors, hosts, or related organizations, if any, would not provide coverage for any death, injuries, or medical expenses sustained by the minor Participant. I agree that the minor Participant has the necessary and appropriate medical, disability, and life insurance coverage to protect the minor Participant and survivors in the event of injury or death. From time-to-time Life Center may provide no-fault accident coverage for medical expenses arising out of an accident during the Activities (with the Participant’s medical insurance being the primary coverage). I understand that such coverage, if available at all, is limited in amount (typically $5,000), is secondary to any medical coverage, does not cover all activities, and may not cover Participant at all. In signing this release, I am not relying on any promise of accident coverage by Life Center and assume such coverage does not exist.
7. Choice of Law and Venue. Life Center is located in Pierce County, Washington. Regardless of the location of any Activities throughout the world, I agree that any dispute arising out of this release agreement or participation in any Activities will be governed by the laws of the State of Washington and venue will be in Pierce County.
8. RELEASE OF CLAIMS. I RELEASE LIFE CENTER (AND ANY CO OR RELATED ORGANIZATIONS), THEIR OFFICERS, DIRECTORS, EMPLOYEES, AGENTS, VOLUNTEERS (COLLECTIVELY, RELEASED PARTIES), FROM ALL CLAIMS AND LIABILITIES OF ANY KIND, KNOWN OR UNKNOWN, INCLUDING, BUT NOT LIMITED TO, CLAIMS BASED ON THE NEGLIGENCE OF RELEASED PARTIES (EITHER INDIVIDUALLY OR COLLECTIVELY), RELATED TO OR ARISING, DIRECTLY OR INDIRECTLY, FROM MY CHILD'S (THE PARTICIPANT'S) PARTICIPATION IN THE ACTIVITIES, INCLUDING TRAVEL TO AND FROM THE ACTIVITIES. THIS RELEASE IS BINDING ON ME AND MY PERSONAL REPRESENTATIVE AND HEIRS. I HAVE CAREFULLY READ THIS DOCUMENT AND UNDERSTAND WHAT IT SAYS.
