I (We) acknowledge that participation in any and all Calvary programs or events is voluntary and may involve activities that require traveling or physical exertion. We agree to the following conditions for participation in the ministries of Calvary Lutheran Church of Golden Valley, MN.: –

  • Calvary is not responsible for the loss or theft of personal belongings.
  • Misconduct may result in the transportation home of my child from an activity at the parent/guardian’s expense. A participant sent home for disciplinary reasons will NOT receive a refund of the activity fee.
  • Participation in Calvary Youth Ministry events or programs is a privilege. This privilege may be denied by Calvary staff when, in their opinion, participation of the youth is disruptive and not keeping with the mission of Calvary.


In order to provide a safe environment for all students, leaders and parents when attending, leading or supervising overnight activities, we will:

  1. Ask that cell phones would be left at home or they will be held in a secure location until the event has concluded.
  2. Assign sleeping arrangements based on biological gender at birth.
  3. Follow the two adult rule which specifically means at least two adults will be present during all activities and when sleeping in a large room setting (ie. like another church building). Adults should not be alone, 1:1, with a student under any circumstance. Private conversation may be had out of earshot but within eye sight of another adult.
  4. Enforce the solo sleeping rule. The solo rule means that adults/students and opposite gender students may not share the same bed, bedding, pillow, sleeping bag, towel, or blanket together at any time. In essence, each person should be the only person under a covering or in the same vicinity while sleeping.
  5. Provide adult supervision when the group is sleeping.
  6. Fully screen all leaders using Protect My Ministry backgrounding services in advance of the trip. This includes a criminal background check and a background check of their driving record.


I grant Calvary Lutheran Church permission to create and use images and recordings of my child and performances in which my child participates. Such use includes, but may not be limited to, printed materials, videos, advertisements, slideshows and the Calvary Website. I also understand that the images and performances of my child will be used only to advertise, promote or celebrate the activities at Calvary, Calvary more generally, or the religious teachings or mission of Calvary. Your child’s name will not be published without your permission.


I hereby take the following action for my child, myself, my executors, administrators, heirs, next of kin, successors and assigns: 

  1. I waive, release and discharge from any and all claims or liabilities for death or personal injury damages of any kind, which arise out of or relate to my child’s participation in the events and programs of Calvary Lutheran Church. Also waived:  the following person, or entities: Calvary Lutheran Church, its Senior Pastor and Associate Pastors, staff, employees, members, volunteers, representatives, subcontractors and agents of any of the above;
  2.  I agree not to sue any of the persons or entities mentioned above for any claims or liabilities that I have waived, released or discharged herein; and,
  3. I indemnify and hold harmless the person or entities mentioned above from any claims made or liabilities assessed against them as a result of my child’s participation in Calvary related activities. I hereby assume the risk of my child participating in all Calvary Lutheran Church ministry activities or programs.
  4.  I agree to indemnify and hold harmless the person or entities mentioned above for any claims or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the release.


I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat the minor named herein for the purpose of attempting to treat or relieve any injury received by said minor. 

  1. I authorize any such Medical Provider to perform all procedures deemed medically advisable in attempting to treat or relieve any such injuries.
  2. I consent to the administration of the anesthesia as deemed advisable.
  3. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and assume any such risk for and on behalf of myself and said minor.
  4. I understand that attempts will be made to contact me in the most expeditious way possible.
  5. Permission is also granted to a Calvary Lutheran Church representative to provide needed emergency treatment to the student prior to his/her admission to a medical facility to treat or relieve any such injuries.