I, {name}, acknowledge that I am an adult at least 18 years of age, am a
competent swimmer and have no medical or physical conditions which could interfere with my safety in this activity. I have read and agree that:
- I will participate in the following program offered by the San Diego South Bay SDA Church: "PROJECT LIVING WATER"
- The Prog ram will take place from June 25, 2023 to September 4, 2023 and will include the following activities:
- Standing or Kneeling on a Paddle Board, Paddling, Swimming, balancing, and excessive arm/body motions.
- I understand I am required to wear a properly fitted, approved life jacket while participating in the paddle board activity.
- I understand that any Church personnel or agents also participating in these activities are not necessarily medically trained to care for any particular physical or medical problem that may occur during these activities.
- I further understand that the Church does not necessarily carry medical or liability insurance for myself while I am participating in the Activity. By placing my signature below, I represent to the Church that I have adequate medical and hospitalization insurance for any injuries that may incur as a result of participating in these activities.
- I understand and recognize that I am responsible for my own well-being and the well-being of the other participants. I declare that I recognize that it is in my best interest, as well as that of the other participants, to follow the rules, guidelines, and suggestions of the Program supervisors and coordinators and that my participation in this activity is entirely voluntary. I am willing and agree to comply with the Program’s stated and customary terms and conditions for participation. If I experience significant concern in my readiness for participation and/or in the activity itself, I will remove myself from participation and bring such attention of a Program supervisor or coordinator immediately.
- I fully understand and appreciate the significant potential dangers, hazards and/or risks, directly and/or indirectly inherent in participating in the specified activities, including the loss of life, permanent disability, serious loss of limb, and loss of property. While due care and personal discipline may reduce these dangers, hazards, and risks, the possibility of serious injury does exist. I willingly accept such risks.
- I understand that the consumption of alcohol and/or use of drugs is strictly prohibited and could result in my dismissal from further participation in these activities.
NOW, THEREFORE, in consideration for being allowed to participate in this activity,
- For myself, my spouse, and my children and heirs, I knowingly and freely agree to assume all above-referenced risks inherent in my participation in the activities.
- For myself, my spouse, and my children and heirs, I release and hold harmless, to the fullest extent permitted by law, the Southeastern California Conference of Seventh-day Adventists, the Church, its Board of Trustees, agents, officers, and employees, student volunteers, and the supervisors and coordinators of this Program (collectively, “Releasees”) for any and all
direct, indirect, special or consequential damages, or costs, legal and otherwise, which they may incur as a result of my child’s participation in these activities, even if due to the negligence of the Releasees or other participants.
- For myself, my spouse, and my children and heirs, I agree to indemnify and hold harmless all of the Releasees from any and all liabilities arising from involvement or participation in this Program. even if due to the negligence of the Releasees to the fullest extent permitted by law.
I understand and acknowledge that but for this agreement to release and hold harmless the above parties, I would not be permitted to participate in the Activity.
I have read the above terms of this Agreement/Release, and I understand and voluntarily agree to the terms and Conditions. This Agreement/Release shall be binding upon the heirs, executors, and assigns of the undersigned.