Presbytery of East Tennessee

I hereby give my permission to the Presbytery of East Tennessee for me or my minor, child or ward (collectively “minor”) to participate in all activities and further agree to the terms herein contained. On behalf of my minor and/or myself, to participate in activities and to use its equipment and facilities, I agree to release, indemnify, hold harmless, and covenant not to sue PET, its employees, agents or volunteers for any and all liability, claims, demands, or causes of action which may be brought by myself, my minor, or on behalf of either of us, and which are in any way connected with such use or participation by my minor or myself, whether caused by the negligence of PET, its employees, agents, or volunteers, or otherwise. I acknowledge that myself or my minor’s participation in individual and group initiatives, problem-solving exercises, winter recreation, and personal growth and development training activities entails known, perceived, and unanticipated risks that could result in serious physical or emotional injury, permanent disability, or death. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity and I expressly accept and assume on behalf of myself and/or my minor all the risks existing in these activities. I authorize PET personnel to call for medical care or to transport myself or my minor to a medical facility or hospital if, in the opinion of such personnel, medical attention is needed. I agree to pay all costs associated with such medical care and transportation. I understand that every guest at Holston Camp and Retreat Center site is covered by secondary insurance, with the participant’s insurance being the primary party in claims situations.

I also agree to comply with PET rules and policies and to cooperate with PET personnel. This includes, but is not limited to, the prohibition of all weapons while on site, the prohibition of all illegal activities, the prohibition of all nicotine and alcoholic products during the event, and the prohibition of all abuse (verbal, physical, or spiritual) and discrimination of any kind.  I understand and agree that if myself or my minor fails to comply with the rules and policies, s/he/they may be asked to leave the event at the parent or legal guardian’s expense, with no refund given for the paid cost of the event.

I hereby represent that myself and/or my minor is in good health, that I have identified all medical conditions applicable to participation, and that I have adequately informed PET personnel of any special instructions.

I certify that I have adequate insurance to cover any injury or damage my minor or I may suffer while participating, or I agree to bear the costs of such injury or damage myself. I give my permission to allow PET to use my likeness and/or my minor’s in photos and videos in any form of media for publicity and reporting purposes (print, digital, online, etc.). I agree that this release, waiver, and indemnity and other terms herein are intended to be as broad and inclusive as permitted by the law of the State of Tennessee and if any portion is invalid, the remainder shall continue in force.

I understand that the Presbytery of East TN will do all in their power to mitigate the spread of COVID-19 and will ensure proper handwashing stations are available, however, by attending this retreat myself/ my minor is aware that exposure to COVID-19 is an inherent risk in any event where people are present; we cannot guarantee you will not be exposed during this event.

I acknowledge that participation in the activity described above involves risk to the Participant (and to Participant's parents or guardians, if Participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property damage, and financial damage.

In consideration for the opportunity to participate in the activity described above (the "Activity"), the Participant (or parent/guardian if Participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the Activity. The Participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the Activity or during transportation to and from the activity, as well as for any medical treatment rendered to the Participant that is authorized by the Sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to hereinafter as the "Activity Sponsor"). Further, the Participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the Activity Sponsor for any injury arising directly or indirectly out of the described Activity or transportation to and from the Activity, whether such injury arises out of the negligence of the Activity Sponsor, the Participant, or otherwise.

If a dispute over this agreement or any claim for damages arises, the Participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the Participant (or parent/guardian) and the Activity Sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution pursuant to the rules of the American
Arbitration Association.

I have read the above and acknowledge the information stated on this form is complete and correct. By signing or typing my name below, I agree that this wet inked or electronic signature is valid. I understand that an electronic signature is legally binding in Tennessee.