PLEASE READ THIS DOCUMENT CAREFULLY; BY SIGNING THIS DOCUMENT, YOU ARE FREELY GIVING UP LEGAL RIGHTS.
IF A VOLUNTEER IS UNDER THE AGE OF 18, THIS WAIVER MUST BE SIGNED BY THE VOLUNTEER'S PARENT OR LEGAL GUARDIAN. BY SIGNING this document AND CHOOSING TO PARTICIPATE IN THE ACTIVITIES, you agree to its terms and YOU AGREE TO give up legal rights. YOU HAVE THE OPTION TO CHOOSE NOT TO PARTICIPATE IN THE ACTIVITIES OR USE THE PREMISES
PARTICIPANT AGREEMENT, RELEASE, WAIVER, AND ASSUMPTION OF RISK - I understand and agree for myself, my spouse or domestic/civil union partner that I and/or my child or ward will be taking part in the Program, Event and/or Activities offered by ASA Now and/or Jacob's Mission Community Center and I/we do so voluntarily. I, on behalf of myself, spouse, domestic/civil union partner and/or my child/ward, hereby warrants that all participants are in good health and suffers from no physical or mental condition that would create a unreasonable risk of harm to himself or herself, or to any other participant of the Event. I assume all risk and liability involved with my participation or the participation by my spouse, domestic/civil union partner, child/ward in the program, event and related Activities, including but not limited to all risk of physical injury, emotional injury, bodily injury, death, or disability to myself, spouse, domestic/civil union partner and/or my child/ward that may result from participation in the Activities, or any damage, loss, or theft of any personal property which may be incurred by me, spouse, domestic/civil union partner and/or my child/ward. I understand that these Activities include, but are not limited to, the use of the facilities, equipment and the premises. I understand that my participation and related activities (including the Activities as described above) that have inherent risks, which include the risk of minor injuries, serious physical injury, emotional injury, bodily injury, death, and disability, or similar injuries to third parties caused by me, spouse, domestic/civil union partner and/or my child/ward’s participation in the Activities. These risks may result not only from my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others. Further, there may be other risks not known to me, or not reasonably foreseeable, such as disability or death. By participating or attending this program or event, I assume all the foregoing risks and accept personal responsibility for any damages following any such injury, permanent disability, property damage, or death. This paragraph shall be inclusive of, but not limited to, any injury or death resulting from exposure to food or beverage allergies, communicable diseases, illnesses of any kind, food borne illnesses, theft of or damage to Participants property, transportation or commute, exposure to adverse weather conditions, or choking.
Medical Expenses and Consent to Medical Treatment. I understand that ASA Now and Jacob's Mission Community Center does not provide medical coverage to a participant, attendee or volunteer if injured while participating in the event or activity. Any medical costs incurred as a result of this program or activity will be my financial responsibility. Participant hereby accepts full financial responsibility for any personal medical expenses or treatment which may result from participation in the Events, and hereby releases the ASA Now and Jacobs Mission Community Center in full from any potential claim for such medical expenses. Further, Participant hereby authorizes ASA Now and Jacobs Mission Community Center to provide Participant with medical treatment, whether resulting from an emergency or otherwise, and hereby releases ASA Now and Jacobs Mission Community Center from any and actions in tort for the provision of such medical attention. Nothing in this Paragraph shall be construed to create an actual or implied duty upon ASA Now and Jacobs Mission Community Center to provide or seek such medical treatment for Participant.
I understand these risks and (if applicable) have explained them to my spouse, domestic/civil union partner and/or child/ward. In spite of the above and clearly stated risks, I elect to participate freely and elect to allow my child/ward to participate of my own free will and accord and as such I assume all responsibility for any injury, death or disability that I, spouse, domestic/civil union partner or my child/ward may incur. If Participant is under age of 18 (hereafter referred to using "Minor", I give permission for "Minor" to attend the Program, Event and/or Activities with or without me in attendance, without restriction or limitation.
I hereby understands and if applicable agree on behalf of Minor that any legal terms and conditions, limitations, waivers, releases, or similar Event legal requirements (whether posted at the Event, printed on tickets, presented during the ticket purchase process, program or event sign-up or otherwise legally binding on Program or Event attendees) shall be applicable to me and I shall be legally responsible for any violation of any such terms and conditions.
I hereby release ASA Now, Jacob's Mission Community Center, their agents, employees, personal representatives, volunteers, affiliates, subsidiaries, successors in interest and insurers, suppliers, related companies, advertising and promotion agencies or partners, sponsors, owners or lessors of the Event site, any of their respective officers, directors, employees, representatives, agents, volunteers and contractors (collectively, the “ASA Now”) any and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, from: (a) any and all liability relating to, or that may arise from, my attendance, my spouse or domestic/civil union partner at the Program or Event and/or my decision to allow Minor to attend the Event; and (b) from all liability and obligation to me, my spouse or domestic/civil union partner and/or Minor arising out of or in connection with the exercise of the rights granted herein including, without limitation, from any liability for violation of rights of privacy, publicity, defamation, emotional distress or any similar right. From any and all claims, actions, damages, liabilities, losses, costs, and expenses, including, without limitation, attorney’s fees, in any way arising out of, or resulting from, Participant’s participation in the Events. Participant further acknowledges that ASA Now and Jacob's Mission Community Center is in no way liable for any injury to resulting from Participant’s own conduct or behavior.
I release, waive, discharge, and covenant not to sue ASA Now, Jacob's Mission Community Center, their board members, officers, agents, employees, personal representatives, affiliates or volunteers from demands, losses, or damages on account of injury, including death, property loss or damage to property, caused or alleged to be caused in whole or in part by the negligence of any person or otherwise, for myself, if any, and our heirs, successors, and assigns.
In consideration of the opportunity afforded, with full knowledge and acceptance of the risks associated with this event; and with full understanding of the above issues/conditions and risks, I hereby release, indemnify and holds harmless ASA Now and Jacob's Mission Community Center from all form and manner of risks inherent in, and from all claims, suits and demands of any nature arising from participation in said event, or activities.
You have been fully informed of your consent, waiver of liability, and release before entering, attending, participating in, or volunteering for this event.
I understand that this document is intended to be as broad and inclusive as permitted by the laws of the
state in which the Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.
Binding Effect. Participant acknowledges that this Agreement shall be binding upon Participant’s heirs and assigns, personal representatives, beneficiaries and next of kin.