Fill and Sign the Accident Waiver Form

Accident Waiver and Release of Liability Form of       (Name of Church) The undersigned       , hereby assumes all risks of participating (Name) and/or volunteering in the hereinafter described Activity or Event and, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. Name of the Activity or Event of       : (Name of Church)             Date of Activity or Event of       :       (Name of Church) (Date) I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN THIS ACTIVITY OR EVENT, I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity or event, and have not been advised to refrain from participating by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this Activity or Event. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said Activity or Event. In consideration of my application and permitting me to participate in this Activity or Event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: A. I HEREBY WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this Activity or Event, the following:       , hereinafter called the (Name of Church) Church , and/or its elders, deacons, officers, employees, volunteers, representatives, and agents, the Activity or Event holders, Activity or Event sponsors, and/or volunteers, all of whom are hereinafter called the Releasees. Accident Waiver and Release of Liability Form Page 1 of 2 B. I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the Releasees from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise. I acknowledge that Main Street Community Church and the other Releasees are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific event or activity on behalf of Releasees . I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity or event. The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. Witness my/our signature(s) this the       day of       , 20       .             (Name of (Child) (Name of Parent or Guardian) By: (Signature of Child) (Signature of Parent or Guardian)             (Printed Name Child) (Printed Name of Parent or Guardian) PARENT / GUARDIAN WAIVER FOR MINORS (Under 18 years old) The undersigned parent/guardian does hereby represent that he is, in fact, acting in such capacity, has consented to his Child’s       participation in the activity or event, (Name) and has agreed individually and on behalf of the Child, to the terms of the accident waiver and release of liability set forth above. Witness my/our signature(s) this the       day of       , 20       .             (Name of (Child) (Name of Parent or Guardian) By: (Signature of Child) (Signature of Parent or Guardian)             (Printed Name Child) (Printed Name of Parent or Guardian) Accident Waiver and Release of Liability Form Page 2 of 2