I understand and agree that the Fan into Flame Retreat on Feb 23, 24, and 25, 2024, held at Good Earth Village Retreat Center and hosted by St. Paul's Outreach, Inc. and Community of Christ the Redeemer, of which I am a participant, involves certain risks and that, regardless of the precautions taken by the above organization, some bodily injury may occur.
Specific risks/hazards involved in the above event include, but are not limited to the following: Driving to and from the retreat, injuries that occur during activities, and possible allergic reactions to food or insect bites.
Knowing this information, in consideration of my participation in the above event, I expressly and knowingly release St. Paul's Outreach, Inc., Community of Christ the Redeemer, Good Earth Village Retreat Center and their officers, agents, representatives, advisors, directors, family members, volunteers, helpers, partners, organizational members, associates and employees, from any and all claims and causes of action for property damage, personal injury or death sustained by me arising out of any travel or activity conducted by or under the auspices of the above organizations caused by risk associated by this activity and /or the negligence of the sponsoring groups.
In addition, I understand and agree that St. Paul's Outreach, Inc., Community of Christ the Redeemer and Good Earth Village Retreat Center cannot be expected to control all of the risks articulated in this form, but may need to respond to accidents and potential emergency situations. Therefore, I hereby give my consent for any medical treatment that may be required during my participation with the understanding that the cost of any such treatment will be my responsibility. St. Paul's Outreach, Inc., Community of Christ the Redeemer and Good Earth Village Retreat Center do not carry any sort of medical or accident insurance for the activities mentioned, unless the participants are informed otherwise. As such, participants should review their personal insurance portfolio.
Finally, I voluntarily and knowingly agree to defend, protect, hold harmless, and fully indemnify, St. Paul's Outreach, Inc., Community of Christ the Redeemer, and Good Earth Village Retreat Center , its officers, agents, representatives, advisors, directors, family members, volunteers, helpers, partners, organizational members, associates and employees against all claims, demands, or causes of action for property damage, personal injury, or death, arising from the negligence or fault of the above named, including defense costs and attorney fees arising out of my participation in the above event of the above organization.
Additionally, I agree to defend, protect, hold harmless and fully indemnify St. Paul's Outreach, Inc., Community of Christ the Redeemer and Good Earth Village Retreat Center for any claim or cause of action whatsoever arising out of the Fan Into Flame Retreat which takes place during the above identified dates of Feb 23, 24, and 25, 2024 that is brought against St. Paul's Outreach, Inc., Community of Christ the Redeemer and Good Earth Village Retreat Center by me or a family member whether such claim arises from the alleged negligence of St. Paul's Outreach, Inc., Community of Christ the Redeemer and Good Earth Village Retreat Center , its employees or agents or my negligence. If any portion of this agreement is held invalid, it is agreed that the balance thereof, shall continue in full legal force and effect.
I understand that this is a substance free retreat and agree not to bring and/or consume alcohol and/or any form of illegal substance during this retreat. I have read the above agreement and have willingly signed the same for the consideration expressed and with a full understanding of its purpose. Participant represents that he/she is eighteen (18) years of age or older and is otherwise competent to execute this agreement, or that his/her legal guardian is also signing this agreement.