LifeSpring Church

Student Transportation Agreement

March 2024 - August 2024

Sponsoring Organization:
LifeSpring Church
13904 S. 36th Street
Bellevue, NE 68123


LifeSpring Church Representative:
Ryan Johnston &
Student Ministry Representatives

Student Transportation Agreement

Fields with an  *  are required.


To Whom It May Concern:

The undersigned does hereby give permission to our (my) son/daughter,

to ride with an adult over the age of 25 in their personal vehicle or one of the church vans. Both may be used for transportation. 


We (I) authorize an adult, in whose care our (my) child has been entrusted, to consent to any emergency medical treatment to be rendered to our (my) child under the supervision and advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital and/or emergency medical care facility. We (I) do herewith authorize the treatment by this authority, and it is granted only after a reasonable effort has been made to reach us (me), the parent(s) and/or guardian(s). Our (my) signature(s) serves to indicate our (my) willingness to take full financial responsibility for any and all medical services rendered for my child. We (I) release LifeSpring Church from this liability. 


The undersigned does hereby release and agree to hold harmless LifeSpring Church and their directors, employees, agents, or representatives from any and all liabilities and claims for personal injury, illness and death, as well as property damage and expenses of any nature whatsoever which may be incurred by our (my) son/daughter that may occur while said child is participating in a LifeSpring Students event/activity.


This consent and release will be effective from March 2024 through August 2024.


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