Waivers for MV Kids Activities

Before kids can participate in some events we need a waiver signed by the parent/guardian prior to the child coming to the event.

ROLLER SKATING & CAMPING
WAIVER OF LIABILITY
(Must be completed for all Participants)

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Childs First name

Childs Last name

Parent/Guardian First name

Parent/Guardian Last name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Cell Phone

Allerges / Medical Informaton / Other

INFORMED CONSENT AND WAIVER OF LIABILITY I acknowledge and understand that roller skating AND CAMPING is a risky and potentially hazardous activity which can result in serious injury to me and/or others. I understand and assume any and all risk and responsibility in any way related directly and/or indirectly to me/my child roller skating AND CAMPING. I further understand and am aware that there are inherent risks of physical injury and hazards associated with roller skating and do hereby consent to my/my child’s participation. Furthermore, I hereby represent that my child and I are physically capable of participating in roller skating. Therefore, and in consideration for roller skating, I also hereby acknowledge and agree to the following: IN NO EVENT SHALL MOUNTAIN VIEW BAPTIST CHURCH, OR ANY OF THEIR OWNERS, PRINCIPALS, AGENTS, CONTRACTORS, EMPLOYEES OR REPRESENTATIVES (“RELEASED PARTIES”) BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, OF ANY KIND WHATSOEVER, WHETHER IN AN ACTION IN CONTRACT OR TORT, RELATED TO OR IN ANY WAY ARISING FROM MY/ MY CHILD’S PARTICIPATION. I FURTHER UNDERSTAND THAT THIS IS A GENERAL WAIVER OF ALL CLAIMS AGAINST THE RELEASED PARTIES FOR ANY AND ALL DAMAGES RELATED IN ANY WAY TO ROLLER SKATING. In further consideration for roller skating, I also agree not to bring any legal action against the Released Parties for any claims or demands of any nature whatsoever arising out of any loss, damage or injury, including death, that may result from my/my child’s participation; and I further agree to indemnify and hold the Released Parties harmless from and against any loss, liability, damage or costs, including court costs and attorneys’ fees, that the Released Parties may incur arising from my/my child’s roller skating. I hereby warrant that I maintain medical insurance that covers me/my child for accidents and illnesses while participating, and I assume full responsibility for payment of any medical expenses not covered by such insurance. I certify that I will comply with all instructions and directions given me/my child by the guide(s) and observe all safety standards. I understand my/my child’s picture may be taken and used for promotional purposes by the Released Parties. I authorize my/my child’s photo to be used for such purpose. I further acknowledge and agree that I have signed this Agreement on behalf of, and that this Agreement shall be binding upon, myself, my child, our other family members, heirs, estates, administrators, assigns and personal representatives; and further agree that this Agreement shall be interpreted under the laws of the State of Georgia and that the state and federal courts located in Thomaston, Georgia, shall have exclusive jurisdiction of any claims arising under this Agreement.

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Waivers for MV Kids Activities

ROLLER SKATING & CAMPING WAIVER OF LIABILITY (Must be completed for all Participants)

ROLLER SKATING & CAMPING
WAIVER OF LIABILITY
(Must be completed for all Participants)