Summer Trade Camp Liability Waiver Form

Christian Skilled Trades Summer Camp Liability Waiver Form

KINGDOM OVERFLOW MINISTRIES
Name of Participant*

First NameLast Name
Name of Parent/Guardian Completing the Waiver*

First NameLast Name
Relationship to Participant:*
Mother / Father / Guardian
Address of Participant*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number*
Email*
example@example.com
I affirm that my child is 14 years of age or older:

Yes
I am registering for a Scholarship Spot:*

YesNo
Statement of Consent & Waiver

I hereby agree and declare that I am the legal parent/guardian of the above-named child and hereby consent to the child's participation in the activities that are described to me in registration process, including the use of power tools and heavy machinery. I understand that activities of the kind described have potential risks and may result in physical injury to my child but nonetheless specifically request that he or she be allowed to participate in those activities.

If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).

I, the parent/guardian, hereby agree and declare that I have carefully read and understand the scope of the summer camp activities and I consent to the participation of the above-named child to these activities.

In consideration for being allowed to participate in the event listed, above, I agree as follows:

1. My child will comply with all instruction and directions of Kingdom Overflow Ministries officers, members, and volunteers in connection with participation in the event

2. I understand the possible risks and dangers associated with my child's participation in the event. I assume all risk of injury, death, property damage, or loss from any cause whatsoever, including, but not limited to the failure of anyone to enforce rules and regulations or inspect equipment or facilities, and the negligence of anyone else; and

3. I release and indemnify, defend, and hold harmless Kingdom Overflow Ministries and its officers, members, and volunteers from all liabilities, losses, costs, damages, claims or causes of action of any kind or nature, whatsoever, sustained as a result of or in connection with participation in the event.

4. North Carolina law governs the determination of all issues related to this Agreement.

If the participant is under eighteen (18) years of age, this document must be signed on behalf of the participant by his or her parents or guardian.

I HAVE READ AND UNDERSTAND THIS PARTICIPATION AGREEMENT; I UNDERSTAND AND AGREE THAT IT SHALL LEGALLY BIND ME AND MY ESTATE, AND I SIGN IT VOLUNTARILY.
Signature of Parent/Guardian

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Date signed by Parent/Guardian*

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Date
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Christian Skilled Trades Summer Camp Liability Waiver Form

Statement of Consent & Waiver