• Metro Church Senior Banquet Passenger Waiver Form and Photo Release Form

    For all participants
  • Terms and Conditions

    Senior Banquet – April 25th, 2025. Location: Metro Church (4200 Ridge Ave)
  • Waiver and Release of Liability for Participants.

    In consideration of being permitted to participate in any capacity in the Crosswalk Senior Banquet (hereafter referred to as the 'Event'), the undersigned acknowledges, appreciates, and agrees to the following:
  • Eligibility for Participation

  • I affirm that I am physically and mentally capable of traveling safely in a vehicle and that I am not under the influence of alcohol, drugs, or any condition that may impair my ability to do so. I agree to follow all applicable safety precautions and requirements. I acknowledge that Metro Church and its affiliates are not responsible for any pre-existing medical conditions that may be affected or aggravated by travel.
    *   

  • Voluntary Decision

  • I confirm that this decision to travel in a personal vehicle, an independently driven vehicle, or a bus was made of my own free will and that Metro Church, Crosswalk Fellowship, and its leaders did not require, encourage, or pressure me to opt out of the provided transportation. I further acknowledge that I was given the option to use Metro Church's provided transportation and voluntarily declined.
    *   

  • Acknowledgment and Assumption of Risk

  • I, the undersigned participant (and parent/guardian, if applicable), acknowledge and understand that traveling as a passenger in any vehicle—including a personal vehicle, a bus provided by Metro Church, or an independently driven vehicle—carries inherent risks, including but not limited to:

    • Personal injury, death, or property damage.
    • Accidents caused by the actions or ordinary negligence of the driver or other motorists.
    • Unforeseeable third-party actions, such as reckless or impaired driving by others.
    • Road conditions, weather, or environmental hazards.
    • Mechanical failures or vehicle malfunctions.

    I further acknowledge that Metro Church, Crosswalk Fellowship, their staff, leaders, volunteers, and affiliates are not responsible for the safety, maintenance, or operation of any personal vehicles, independently driven vehicles, or buses used for transportation. They do not verify, inspect, or maintain these vehicles.
    By signing below, I voluntarily assume all risks associated with traveling in any vehicle, including those arising from the negligence of the Released Parties, except those resulting from gross negligence or reckless misconduct. I understand that my participation in this Event and use of transportation is entirely voluntary.

    WARNING: BY SIGNING THIS DOCUMENT, YOU ARE WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY BEFORE SIGNING.
    *   

  • Personal Responsibility

  • I acknowledge and accept full responsibility for my personal safety and agree to:

    • Wear a seatbelt at all times while in the vehicle,
    • Follow all traffic laws and safety regulations,
    • Exercise reasonable caution as a passenger.

    I understand that Metro Church, Crosswalk Fellowship, and its leaders are not responsible for the condition, operation, or safety of any personal, independently driven, or Metro Church-provided vehicle. I further acknowledge that I have been advised to verify that the driver possesses a valid driver's license and insurance.
    *   

  • Health and Saftey Acknowledgement

  • I acknowledge that participating in the Event involves inherent risks, including but not limited to physical injury, illness (such as communicable diseases like influenza or COVID-19), emotional distress, and, in extreme cases, permanent disability or death. These risks may result from my own actions or inactions, those of other participants, or the conditions in which the Event takes place. I fully understand and accept these risks, both known and unknown, and voluntarily assume them.
    *   

  • Release of Liability

  • In consideration for being allowed to participate in the Event, I, for myself, and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, indemnify, and hold harmless Metro Church, its elders, pastors, directors, officers, officials, agents, volunteers, employees, and other participants, as well as any sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the Event (collectively referred to as “Releasees”), from any and all claims, demands, losses, damages, and liabilities, including any injury, disability, death, or damage to property, arising out of or in connection with my participation in the Event, whether arising from the negligence of the Releasees or otherwise, to the fullest extent permitted by law.
    *   

  • Gross Negligence and Recklessness Exclusion

    This waiver does not release the Released Parties from liability for gross negligence, reckless misconduct, or intentional acts. This waiver is intended to cover ordinary negligence only and shall be interpreted in accordance with Pennsylvania law.

  • Medical Treatment

  • I give my consent to Metro Church to provide, through a medical staff of its choice, customary medical or emergency services as a result of my injury or illness during the Event. However, I understand and agree that Metro Church is not responsible or liable for any medical expenses incurred as a result of my participation in the Event.
    *   

  • Independent Travel Liability

  • If I choose to drive independently or ride in a vehicle not provided by Metro Church or Crosswalk Fellowship, I assume all associated risks. I acknowledge that Metro Church, Crosswalk Fellowship, their staff, leaders, volunteers, and affiliates are not responsible for:

    • The condition, safety, or maintenance of the independently driven vehicle.
    • The driver’s actions, qualifications, or adherence to traffic laws.
    • Any accidents, injuries, damages, or losses that occur while traveling in an independently driven vehicle.

    I further understand that Metro Church and Crosswalk Fellowship have not encouraged or directed me to travel separately and that this decision is entirely my own.
    *   

  • Photo Release

  • I hereby grant Metro Church permission to use my likeness in photographs, videos, or other digital media ("photos") for any and all publications, including web-based materials, without payment or other compensation.

    I understand and agree that all photos will become the property of Metro Church and will not be returned. I irrevocably authorize Metro Church to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. I also waive the right to inspect or approve the final product in which my likeness appears, as well as any right to royalties or compensation related to the use of these materials.

    Furthermore, I release and forever discharge Metro Church from any claims, demands, or causes of action that I, my representatives, executors, administrators, or any other persons acting on my behalf may have in connection with this authorization.

    Acknowledgment:
    I HAVE READ AND UNDERSTAND THIS PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE. IF I AM UNDER 18, I CONFIRM THAT I HAVE OBTAINED THE NECESSARY CONSENT FROM MY PARENT(S) OR LEGAL GUARDIAN(S), AS EVIDENCED BY THEIR AGREEMENT AND SIGNATURE BELOW.
    *   

  • State Compliance & Severability (Pennsylvania Law)

    This waiver shall be governed and interpreted under the laws of the Commonwealth of Pennsylvania. If any part of this Waiver is found to be invalid or unenforceable under Pennsylvania law, the remaining provisions shall continue in full force and effect.

    I acknowledge that Pennsylvania law requires clear and knowing consent for the waiver of liability rights and that I have been given the opportunity to ask questions and seek legal counsel before signing.

  • Confirm Reading of Waiver and Release

  • I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
    *   

  • Agreement | Participant Must Agree and Sign

  • By applying my electronic signature to this agreement, I acknowledge that it holds the same legal validity as my handwritten signature. I waive any future claim disputing its enforceability. By electronically signing and submitting this agreement, I:

    • Confirm that I have carefully read and fully understand the terms of the Waiver and Release of Liability.
    • Voluntarily agree to be bound by this agreement.
    • Certify that I am at least 18 years of age or have obtained the required parental/guardian consent.

    My signature applies to all pages of this agreement.
    *   

  • Acknowledgment of Understanding the Risk of Transportation

  • Powered by Jotform SignClear
  •  - -
  • Should be Empty: