• Waiver and Release of Liability

    (for a Minor Child)
  • I, the undersigned, am a person at least 18 years of age.  I am the parent or guardian of the minor child named below, and that child desires to  participate in Youth Ministries sponsored by Bloomington Free Methodist Church.

    I acknowledge that such Program may be hazardous and I hereby assume all responsibility and risk for any accidents, sickness, or other mishaps, including, but not limited to, serious bodily injury, permanent disability, and/or death, that may result to me on the Program.  In connection with my participation in the Program, I hereby waive all rights to any claim, cause of action, and/or the right to file a lawsuit against The Church, or against any of its affiliates, parent organizations, directors, officers, sponsors, employees, agents, volunteers, successors and assigns.  I further release all such organizations and/or persons from any and all responsibility or liability of any nature whatsoever for any loss or damage to my person or property, including, but not limited to, personal injury and/or death sustained on or through the Program. 

    This Waiver and Release of Liability is binding upon my and my child’s personal representatives,  trustees, heirs, successors, beneficiaries, relatives, next of kin or assigns and shall inure to the benefit of all organizations named herein as well as to their directors, officers, sponsors, employees, agents, volunteers, successors and assigns.

    This Waiver and Release of Liability also acts as permission for photos of my child to be shared in media produced by Bloomington Free Methdosit Church and it's affiliates for promotional purposes. 

     If any provision of this document is held to be invalid or unenforceable, this form shall be construed as if the invalid or unenforceable provision was not contained in the document.

  • By signing below I represent that I am the parent or guardian – and if divorced that I have custody – of the above named Minor Child. I have carefully read this Waiver and Release of Liability. By my signature, I am stating that I understand, agree to, and accept all of its provisions, and understand that I am giving away substantial legal rights for both myself and for my child.

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