Minor’s legal name: [ {minorsLegal} ] wishes to participate in [ {eventactivityName} ]
(Activity) sponsored by the Newton County Christian Learning Center (NCCLC).
NCCLC and the undersigned parent or legal guardian of Minor agree that the Activity may pose risks, including possible illness, injury, as well as similar and dissimilar risks (“Risks”). The undersigned is fully aware of the Risks and other hazards inherent in the Activity and is participating in the Activity voluntarily and assumes the Risks and all other risks of loss, damage, or injury that may be sustained while participating in the activity.
NCCLC makes no representations or claims as to the condition or safety of the land, structures, transportation or surroundings that may be involved in the Activity, whether or not owned, leased, operated or maintained by NCCLC.
In exchange for allowing the Minor to participate in these NCCLC activities, the Minor, by and through the undersigned, the undersigned, and their respective heirs, personal representatives and estates agree(s) to release from liability and hold harmless NCCLC and any agent, officer, employee, or volunteer of NCCLC acting within the scope of their duties for any injury to the Minor’s person or damage to the Minor’s property. I authorize NCCLC to take any action, including seeking medical care, necessary in its judgment if I am not present or reachable in the event of an emergency. The undersigned acknowledges that as a part of this Release he or she shall be 100% liable to pay for all medical expenses resulting or to result from any injury incurred during, or as a result of, participation in the Activity.
If any term of this agreement or the application to any person or circumstance shall, to any extent, be invalid or unenforceable, the remainder shall not be affected thereby, and each and every remaining term of this agreement shall be valid and enforced to the fullest extent permitted by law. In the event of any need to enforce this agreement, NCCLC shall be entitled to its attorney fees and costs. This agreement will be governed by Georgia law.
I, the undersigned, state that I am the parent or legal guardian of the Minor. I have fully read and understand the above terms and conditions and that they apply to said Minor and to myself, and that no oral representations, statements or inducements apart from the foregoing written agreement have been made to the undersigned. This document is binding on myself, the teacher, any volunteers, the said Minor, and any person suing on behalf of said Minor.