COVID-19 Waiver

Arrow Christian Academy


Notice: THIS IS A LEGALLY BINDING AGREEMENT. Read this document carefully and in its entirety. By signing this agreement, you give up your right and named minors’ rights to bring a court action to recover compensation or obtain any other remedy for any personal injury or property damage or acquired communicable disease however caused arising out of the named minors’ participation in Arrow Christian Academy’s programs and events, now or any time in the future.




I, in my legal capacity as the parent/guardian of the minor(S) named below, do hereby acknowledge, and agree that participation in any activities comes with inherent risks. I have full knowledge and understanding of the inherent risks associated with any activity or program participation, including but in no way limited to: (1) slips, trips, and falls, (2) athletic injuries, and (3) illness, including exposure to and infection with viruses or bacteria. I further acknowledge that the preceding list is not inclusive of all possible risks associated with any activity or program participation and that said list in no way limits the operation of this Agreement.



Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a means to prevent the spread of the virus. COVID-19 can lead to severe illness. As with any communicable disease, participating in any activity with others can expose a person to possible infection. Participation at Arrow Christian Academy and its activities, classes and programs could increase the risk of contracting COVID-19.



In consideration of (LIST ALL STUDENTS)  ’s participation in Arrow Christian Academy’s (ACA) activities and programs, I, , the parent/guardian of the minor named above, agree to release and on behalf of myself and the minor named above, my heirs, representatives, executors, administrators, and assigns, HEREBY DO RELEASE ACA, its officers, directors, employees, volunteers, agents, representatives and insurers from any causes of action, claims, or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I, the named minor, my heirs, representatives, executors, administrators and assigns may have, now or in the future, against ACA on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to the use of ACA (or the facilities rented by ACA, SPECIFICALLY St. Nicholas Church) facilities/equipment or participation in Arrow Christian Academy programs whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to the negligence of ACA. In consideration of the named minor’s participation in activities and programs, I, the undersigned parent/guardian of the named minor, agree to INDEMNIFY AND HOLD HARMLESS ACA and St. Nicholas Church from any and all causes of action, claims, demands, losses, or costs of any nature whatsoever arising out of or in any way related to the named minor’s activity and program participation. I hereby certify on behalf of myself and the named minor that I have full knowledge of the nature and extent of the risks inherent in any activity and program participation and that I, on behalf of myself and the named minor, am voluntarily assuming said risks. I understand that I and the named minor will be solely responsible for any loss or damage, including personal injury, property damage, or death, the named minor sustains while participating in any activities and programs and that by signing this agreement I, on behalf of myself and the named minor, HEREBY RELEASE ACA and St. Nicholas Church of all liability for such loss, damage, or death.


I further agree to make or cause to be made, by assignment of third-party benefits or otherwise, full and complete payment for examination, treatment, or hospital care required in the case of a medical emergency.  Furthermore, we hereby authorize, in the event of an injury, any director, aid, adult leader or medical attendant in ACA to consent to emergency medical treatment for our child when we cannot be contacted to give consent.  Such medical treatment may include, without limitation, x-ray examination, anesthetic, medical, surgical examination or treatment, and general hospital care. Except as noted below, this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, and is given to provide authority and power on the part of a director, aid or adult leader of ACA to give specific consent to any and all such examination, treatment, or hospital care.

Arrow Christian Academy – A Ministry of Home Run Ministries

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Signature Certificate
Document name: COVID-19 Waiver
lock iconUnique Document ID: 89c8f5fde6ca02680351a031009cf38bd81d1eaa
Timestamp Audit
March 12, 2021 1:59 pm CDTCOVID-19 Waiver Uploaded by Cynthia Eenigenburg - IP