Required Release - Adult

 I understand and acknowledge that the Church will not allow me to participate in the Activities without releasing and holding the Church, its officers and directors, and its employees, agents, and any parties volunteering on behalf of the Church, harmless from any liability arising out of participation in the Activities. I have investigated the risks involved in the Activities (including the risk of contracting COVID-19 at the Activities) and fully understand and assume such risks. Specifically, I understand and acknowledge that I may suffer or experience, among other things, personal injury or bodily damage, medical disabilities, loss or theft of personal property, abduction and even death.

I REQUEST THAT THE CHURCH ALLOW ME TO PARTICIPATE IN THE ACTIVITIES, AND IN CONSIDERATION THEREOF AGREE HEREBY TO RELEASE AND FOREVER DISCHARGE THE CHURCH, ITS OFFICERS AND DIRECTORS, AND ITS EMPLOYEES, AGENTS, AND ANY PERSONS VOLUNTEERING ON BEHALF OF THE CHURCH, FROM ALL ACTIONS, CAUSES OF ACTION, INJURIES, CLAIMS, DAMAGES, COSTS OR EXPENSES OF ANY KIND, GROWING OUT OF OR RELATED TO ANY SUCH ACTIVITIES IN WHICH I PARTICIPATE. I UNDERSTAND THAT THIS IS A FULL AND COMPLETE RELEASE OF ALL INJURIES AND DAMAGES WHICH I MAY SUSTAIN AS A RESULT OF MY PARTICIPATION IN ANY OF THE ACTIVITIES, REGARDLESS OF THE SPECIFIC CAUSE THEREOF.

In the event I suffer any injury or condition during my participation in the Activities, which may endanger my life, cause disfigurement, physical impairment, or undue discomfort if medical treatment is delayed, and as the result of which I am unable, in the opinion of my attending physician to make an informed decision regarding such treatment, and reasonable attempts to contact my spouse have been unsuccessful, I hereby appoint Church Staff as my agent to act for me and in my name (in any way I could act in person) to make any and all decisions for me concerning my personal care, medical treatment, hospitalization and health care. This power of attorney and delegation of authority shall terminate in thirty (30) days or when, in the opinion of my attending physician, I am competent to make informed decisions regarding the need for medical treatment, or when the agent is able to contact my spouse, whichever occurs first.

In the event I suffer an injury or condition during my participation in the Activities, I authorize Church Staff to contact My Emergency Contact Person to advise them of my injury or condition, and to consult with them regarding my injury or condition. 

Regarding photographs of myself taken at the Activities, I give the Church permission to do the following for nonprofit use and without charge: use at the discretion of the Church, display at an event or be used in a multimedia presentation, reprint and distribute for any Church nonprofit publication with copyright to accompany photo when used (for example, in newsletters, brochures, etc.) display on the Church website, or use quotes and video clips on the Church website and blog.

The undersigned agrees to the above Initialed sections and this Agreement is binding on my heirs, successors and personal representatives. I agree that the Church may inspect luggage, bags, purses and any other items taken to the Activities.