Fill and Sign the Church Vacation Bible School Form

Release and Waiver of Liability Given in Favor of Church for Pony Rides during Vacation Bible School ( including Assumption of all Risks of Bodily Injury) Whereas, _____________ Church (_______) is offering pony rides to children attending _______________ ’s Vacation Bible School during _____________ (dates) at _________________ _____________________________________ (street address, city, state, zip code); Whereas, the undersigned (name of attendee) (Attendee) desires to ride one or more of said ponies; and Whereas, Attendee acknowledges that ______________ does not, will not, and has no duty to, insure or guarantee that Attendee will not have an accident resulting in serious injury or death while riding said pony or ponies; Now, therefore, for and in consideration of riding one or more of said ponies, the undersigned Attendee hereby releases _____________, its employees, officers, directors, successors, and assigns (collectively Releasees) from all liability to Attendee for any loss or damage to property, physical injury or death whether caused by Releasees or otherwise that result, directly or indirectly from Attendee’s riding said pony or ponies. Attendee further agrees to indemnify, save and hold Releasees harmless from any loss, liability, attorneys ’ fees, damage, or costs that they (or any of them) may incur arising out of or related Attendee’s riding said pony or ponies whether caused by the negligence of the Releasees or otherwise, and Attendee does hereby assume the risk of any such loss or damage. The undersigned do further covenant and represent that I/we have read this document; and that I/we voluntarily signed this Release, Waiver of Liability and Assumption of Risk. This Agreement shall be governed by the laws of the State of ____________and the Parties agree that any legal action relating to or arising out of this agreement shall be brought exclusively in binding arbitration in ______________________ (city, state) and subject to the Rules of the American Arbitration Association. WITNESS our signatures this the _____ day of ___________ 20___. _____________________________________ Attendee AGREEMENT AND CONSENT OF PARENT OR GUARDIAN OF MINOR I, as parent or guardian of the above Attendee, represent to the Releasees that the facts in this document concerning my child or ward are true. I give my permission for my child or ward to ride said pony or ponies, and further, in consideration of allowing my child or ward to ride said pony or ponies, I agree individually and on behalf of my child or ward, to the terms of the above Release, Waiver of Liability and Assumption of Risk. WITNESS my signature on this the ____ day of ___________, 20____. ________________________ Parent or Guardian