Kids Nation + Jr. New Family Registration

Parent Information

Child(ren)'s Information


Authorization for Medical Treatment

This release and consent gives Church For All Nations (CFAN) permission to take my child to the nearest available medical facility and have any necessary emergency treatment administered. I understand that every effort will be made to contact me. However, in case of an emergency, if I cannot be reached, I hereby give CFAN Staff/Volunteers permission to act on my behalf in seeking medical treatment by qualified personnel for my child in the event that such treatment is deemed necessary or advisable for my child’s health, safety and welfare. I release CFAN and any of CFAN’s agents, employees, representatives, successors, etc. from liability in acting on my behalf in this regard in rendering such medical treatment.

Release of Liability for Activities

I understand that participation in CFAN activities is a privilege. In consideration of that privilege, I am signing this Release of Liability form on behalf of myself and/or my minor child who is participating in CFAN activities. I understand that by partaking in CFAN activities, my child and/or I may participate in any number of activities, some of which include, but are not limited to, recreational activities and games. I understand that there are certain risks, whether such risks are known or unknown to me at this time. I further release CFAN, including its directors, volunteers, employees and agents, from any claim that I, or my child, may have against them as a result of physical injury or illness incurred during participation in CFAN activities. In consideration of your accepting me or my child for participation in the above named program, activity or sport, I hereby, for myself, my heirs, executor and administrators, waive and release any and all rights and claims for damages that I may have against the above named organization and its agents, employees, representatives, successors and assigns for any and all injuries suffered by myself or my child that arise out of the above named program, activity or sport sponsored by the above named organization.