Salvation Army Permission/Waiver

Salvation Army Permission/Waiver Form

Hoblitzelle Camp & Conference Center
Family Last Name*
Phone Number*
Email*
example@example.com
Please list the full name and date of birth for ALL family members who will be on campus. Use the "Save and Add Row" button to add more family members. Include yourself! ** After you fill in the last person, make sure to click the "Save/Add" button to save that last record. *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Activity Responsibility Agreement
I, First Name* Last Name* , understand that there are risks and dangers inherent in participating in The Salvation Army Hoblitzelle Trail Rides, Paintball, Ropes Course or any other recreational activities to include but not limited to swimming, fishing, team building, longhorn feedings, etc., hereinafter referred to as “Activity”, which may include transportation, for a time period of up to one year. I also understand that in order to be allowed to participate in this Activity and associated Activities, I must agree not to hold The Salvation Army liable for any injury or damage which I may suffer while participating in any Activity or going to/from any Activity.
Knowing this, and in consideration of being permitted to voluntarily participate in any Activity, and recognizing the charitable nature of The Salvation Army, I hereby voluntarily release The Salvation Army from any and all liability resulting from or arising in any manner whatsoever out of any participation in any Activity.
- I understand and agree that I am releasing not only The Salvation Army, but also its officers, agents, and employees. I understand and agree that this waiver/release will have the effect of releasing, discharging, saving and forever relinquishing any and all actions or causes of action that I may have or have had, whether past, present, or future; whether known or unknown, and whether anticipated or unanticipated by me, whether through acts or omissions by The Salvation Army’s personnel or other unrelated third parties or other participants.
- I understand and agree that this waiver/release will be binding on me, my spouse, my heirs, my personal representatives, my assignees, my children, and any guardian ad litem for said children.
- I understand and agree that by signing this waiver/release, I am assuming full responsibility for any and all risk of death or personal injury, or property damage suffered by me while participating in any Activity, including but not limited to health care expenses.
- I understand and agree that by signing this waiver/release, I am agreeing to release, indemnify and hold The Salvation Army, its officers, agents, or employees harmless from any and all liability or costs, including attorney’s fees, associated with or arising from my participation in any Activity.
I understand that this is a legal Document. I acknowledge that I have read this waiver/release agreement and that I understand the words and language in it. I understand there are potential dangers incidental to participating in any activity and going to/from any activity. I execute it voluntarily and with full knowledge of its meaning and significance.*

Agree
Consent to Publication by The Salvation Army

(Photography, Film, Text, Audio)
I agree to the following:

I hereby irrevocably grant to The Salvation Army, its successors and assigns, its agents and those by whom it is commissioned, the absolute, unrestricted and unlimited license, right, permission, and consent to use and reuse, disseminate, copyright, print, reproduce, publish and republish, for or commercial or other advertising or public purposes, and in any and all advertising, publicity, display, publication or media, my name, signature and likeness, and any portraits, pictures, photographic prints or other representations of me, or in which I may appear, or any reproductions or sketches thereof or parts thereof, photographic or otherwise, with such additions, deletions, alterations or changes therein as you in your discretion may make, either separately or together with my name or a fictitious name, or the name of another person, with or without any statements or testimonials made by me, or authorized by me which you may, in your discretion, prepare for use in connection therewith. I warrant that I have not limited or restricted the use of my name or photograph to the use of any organization or person.I hereby grant unrestricted use of audio tracks or text by The Salvation Army for such purposes as The Salvation Army may deem appropriate.I hereby release and discharge The Salvation Army, its successors, assigns and agents from any and all claims and demands arising out of or in connection with the use of any of the foregoing, including any claims for defamation, invasion of privacy or violation of any statutory right.I understand that The Salvation Army is not responsible for private individuals placing photos on Facebook or other such media.
Waiver of Lawsuit/Liability

I hereby forever release and waive my right to bring suit against The Salvation Army Hoblitzelle Camp & Conference Center and its officers, directors, managers, officials, trustees, agents, employees, or other representatives (Collectively “Released parties”) in connection with exposure, infection, and/or spread of COVID-19 related to utilizing The Salvation Army Hoblitzelle Camp & Conference Center’s services and/or premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.
Indemnity

I also agree that in exchange for utilizing The Salvation Army Hoblitzelle Camp and Conference Center’s services and/or premises I will indemnify, defend and hold harmless the Released Parties from any and all claims that arise directly or indirectly from Coronavirus/COVID-19 as a result of my and/or children’s utilization of The Salvation Army Hoblitzelle Camp and Conference Center’s services and/or premises.
Choice of Law

I understand and agree that the law of the State of Texas will apply to this contract.
Name

First NameLast Name
Date Signed*

MonthDayYear
Date
Signature
Should be Empty:

Salvation Army Permission/Waiver Form

Consent to Publication by The Salvation Army