I, the undersigned parent or legal guardian, hereby consent to my child participating in the following activity sponsored by Mesa Baptist Church.
If my child has a medical condition, which may be relevant to a physician in the event of an emergency, I have listed them below. If I cannot be reached, I hereby authorize the adult sponsor of this activity to make major medical decisions for my child. If there are any activities I do not want my child to be involved in, I have listed them below.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID AVTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold Mesa Baptist Church and it’s agents and employees, harmless from any and all liability, actions, caused of actions, claims expenses, and damages on account of injury to my child or property, even injury resulting in death, which I how have or which may rise in the future in connection with the activity or participation in any other associated activities.
I expressly agree that this release, waiver and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of New Mexico and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not mere recital.
I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement, which I have read and understand.