Waiver of Liability Form
In signing my name, I knowingly and freely assume all responsibility for any risk of loss, property damage, or personal injury that may be sustained by me, or any loss or damage to property owned by me, as a result of my participating and attending this event.
I further agree to release and hold harmless Word of Life Christian Fellowship from all claims and liabilities of any type whatsoever and for damages to, loss, or destruction of any property or injury, which may result from my participation or attending this event. I acknowledge and represent that I read the foregoing Waiver of Liability Form, understand it, and sign it voluntarily as my own free act and deed. I am at least eighteen (18) years of age and fully competent. If under 18, my parent or guardian shall also sign.
Word of Life Poindexter
1417 West Capitol Street
Jackson, Ms 39203