I, the undersigned parent or legal guardian, hereby consent to my child and or children, to participate in all activities connected with the Marion Avenue Baptist Church Our Time Youth Conference. I certify that my child or children are able to participate in any and all activities, which include, but are not limited to: horseback riding, canoeing, inflatables, competitive sports and games, and hay rack ride. If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them below. If I cannot be reached within a reasonable period of time, I hereby authorize the authorized adult sponsor of such activity to make emergency medical decisions for my child. If there are any activities I do not want my child to be involved in, I have listed them below.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITIES, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold Marion Avenue Baptist Church, and its agents and employees, as well as the owner of 2610 Nutmeg Avenue where various events will be held, harmless from any and all liability, actions, causes of actions, claims expenses, and damages on account of injury to my child or property, even injury with the activity of participation in any other associated activities. I expressly agree that this release, waiver, an indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Iowa and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital.
Acknowledgment of Understanding: I have read this release of liability, waiver and covenant not to sue, indemnification and assumption of risk agreement and fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I agree this form has been fully explained and I have been given an opportunity to ask questions and to seek legal advice. I believe that I have sufficient information to give this informed consent. I further understand and accept that additional risks and hazards may be involved. Finally, I acknowledge that I am signing this agreement freely and voluntarily, and intend for my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. This is a legally binding agreement which I have read and understand.