Participant
I, the undersigned, am a Participant, or the parent or legal guardian of , a minor Participant, in the above-referenced travel or activities.
In the event of an emergency, or if I, the parent or legal guardian, cannot be contacted at the time of an emergency, I hereby authorize Michigan Conference of Seventh-day Adventists (Michigan Conference) and its affiliates, agents, and designees at the above-referenced travel or activities to act as my agent(s) to consent to any examination, x-ray, anesthesia, medical or surgical diagnosis or treatment, and hospital care which is rendered under supervision of any licensed medical personnel or medical institution. It is understood that I, the parent or legal guardian, will be contacted regarding such emergency medical treatment as soon as is reasonably possible.
I acknowledge that there is a risk of injury in the above-referenced travel or activities. I represent that the minor has no health or physical problems that will interfere with the above referenced travel or activities. I hereby assume full responsibility and risk of injury, death, property damage, any loss or liability, and any cost that may be incurred as a result of participation in the above-referenced travel or activities; and I agree to release, discharge, hold harmless, and indemnify Michigan Conference, its employees, representatives, affiliates, and agents from any claims, actions, or liabilities (including reasonable attorney fees), for any occurrences which result in any injury, illness, accident, or harm of any kind to Participant while involved in the above-referenced travel or activities.
I also expressly agree to release, discharge, hold harmless, and indemnify Michigan Conference, its employees, representatives, affiliates, and agents from any act or omission of negligence in rendering or failing to render any type of emergency or medical service. In signing this document, I fully recognize and understand that I am giving up my right and Participant’s right to make a claim or file a lawsuit against Michigan Conference, even if it negligently or by some other act or omission causes injury or damage to Participant.
I agree that this release, discharge, hold harmless, and indemnification is intended to be as broad and inclusive as is permitted by the laws of the State of Michigan, and that if any portion thereof is held to be invalid, the balance of the Agreement shall continue in full legal force and effect.
As parent or legal guardian of a minor Participant, I voluntarily agree that said minor may participate in the above-referenced travel or activities, and I sign this release on his/her behalf. I understand this is a release of all claims that are binding on me, my heirs, members of my family, personal representatives, and assigns. I understand that I am assuming all risk inherent in the above-referenced travel or activities. I voluntarily sign my name as evidence of my acceptance of the above provisions.