The minor child identified below requests to participate in the following activity: DESCRIPTION OF ACTIVITY: 2021-2022 Life Group DATES OF ACTIVITY: 2021-2022 Life Group Season
In consideration of Saddleback Valley Community Church’s agreement to allow my child to participate in the above-described activity (herein the “Activity”), on behalf of my child, I agree to the following: COVID-19: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. The Saddleback Church has put in place the preventive measures to reduce the spread of COVID-19 during Life Group referenced above (“Event”). But we cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Event could increase the risk of contracting COVID-19. By signing this agreement, you acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that your child(ren) and you may be exposed to or infected by COVID-19 by attending the Event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. You understand that the risk of becoming exposed to or infected by COVID-19 at the event may result from the actions, omissions, or negligence of yourself and others, including, but not limited to, Church employees, volunteers, and other Event participants and their families.
ASSUMPTION OF RISK: I understand that recreational activities have unforeseen hazards and that participation in the Activity, including travel to and from the Activity, includes certain inherent risks, known and unknown, that cannot be eliminated regardless of the care taken to avoid injuries or losses. The specific risks vary, but may involve property damage, bodily injury, emotional injury, personal injury, death, and financial damage. I understand the risks that are involved in my child’s participation in the Activity. I agree that my child may participate in the Activity and I agree that my child assumes any and all risks of injury or harm that my child may sustain as a result of my child’s participation in the Activity, including but not limited to those risks listed above.
WAIVER OF LIABILITY: To the fullest extent permitted by law, I agree to hold harmless not liable, to not sue, and to release and discharge the Saddleback Valley Community Church, and its agents representatives, trustees, elders, officers, affiliates, subsidiaries, divisions, administrators, directors, employees, independent contractors, and volunteers (collectively referred to herein as the “Church”) and the promoter, participants, owners, and lessees of the premises at which the Activity is located, and each of their agents, representatives, trustees, officers, affiliates, subsidiaries, divisions, administrators, directors, employees, independent contractors, and volunteers (collectively referred to herein as the “Premises Entities”) on account of or in connection with any claims, losses, demands causes of action, losses, costs, or expenses for any accident or injury or harm of any kind, regardless of cause or fault, as a result of my child’s participation in the Activity including whether a COVID-19 infection occurs before, during, or after participation in the Event. This release is intended to discharge the Church and Premises Entities from any and all liability whatsoever arising out of or connected in any way with the Activity even though that liability may arise out of the negligence or carelessness on the part of the Church or any of the Premises Entities.
INDEMNIFICATION: I agree to defend, indemnify, and hold the Church and the Premises Entities harmless from and against all claims, demands, causes of action, suits, damages, costs, losses, expenses, injuries, losses, damages, and liabilities of every kind and nature as a result of, arising out of, associated with, or resulting directly or indirectly from my child’s participation in the Activity. This indemnification includes, but is not limited to all amounts incurred by the Church or the Premises Entities for defending any such all claims, suits, damages, costs, losses and expenses, including all attorney’s fees and costs incurred. The indemnity shall apply regardless of any active and/or passive negligent act or omission of the Church or Premises Entities, or other responsible party, or their agents or employees.
VIDEO/PHOTO RELEASE: During the above-described activity, photographs may be taken and videos may be produced and used for future publicity. I give permission for images of my child captured during the Activity, including but not limited to images captured by video, photo, and digital camera to be used for the purposes of the Church, including in promotional materials and publications and agree to waive any rights of compensation or ownership.
AUTHORIZATION AND CONSENT TO MEDICAL TREATMENT: By my signature below, I certify that I am the legal parent or guardian of the child identified below and that I may authorize medical care and dental care pursuant to California Family Code Section 6550. I further certify that that my child is medically fit to participate in the Activity. In the event that my child is injured any time during his or her participation in the Activity, I hereby authorize and consent for the Church to administer general first aid treatment for any minor injuries or illnesses my child may experience. If the injury or illness is life threatening or in need of emergency treatment, I authorize the Church to summon any and all professional emergency personnel to attend, transport, and treat my child, and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state or country in which such treatment is rendered. I understand that this authorization and consent is given in advance of any specific diagnosis, treatment or hospital care which may become required, but is given to provide authority and power to the Church to render care in the best judgment of the Church upon the advice of any such medical, dental, or emergency personnel. I understand that efforts shall be made to obtain my consent prior to rendering treatment, but that treatment will not be withheld if I am incapacitated, unavailable, or otherwise unable to provide consent. This authorization is given pursuant to California Family Code Section 6910, and authorization is hereby given to any medical, dental, or emergency personnel who have provided treatment to my child, to surrender physical custody of my child to the Church upon the completion of treatment. I acknowledge and understand that the Church does not provide medical, or dental insurance coverage for my child in connection with my child’s participation in the Activity and I agree to assume all responsibility for payment for any treatment my child may receive.
TERMINATION OF PARTICIPATION: I understand and acknowledge that my child is required to comply with all safety-related rules, regulations, guidelines, training, and instructions pertaining to the Activity and that my child will not engage in any inappropriate or unsafe conduct. I understand that, the Church may terminate my child’s participation in the Activity at any time, and agree that if the Church determines that my child is required to leave the Activity, I will be responsible for any associated expenses, including but not limited to travel-related expenses for my child to return home.
IN SIGNING BELOW, I HEREBY ACKNOWLEDGE AND REPRESENT THAT I AM AT LEAST 18 YEARS OF AGE OR OLDER, THAT I HAVE READ THIS ENTIRE DOCUMENT, THAT I UNDERSTAND ITS TERMS AND PROVISIONS, THAT I UNDERSTAND IT AFFECTS MY LEGAL RIGHTS AND THE RIGHTS OF MY CHILD, THAT IT IS A BINDING AGREEMENT, AND THAT I HAVE SIGNED IT KNOWINGLY AND VOLUNTARILY.