SPRINGS FELLOWSHIP CHURCHFALL FESTWaiver & Release of Liability
Event Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location:
10421 C F Hawn Fwy, Dallas, TX 75217
Participant Name:
First Name
Last Name
Age:
Parent/Guardian (if participant is under 18):
First Name
Last Name
Assumption of Risk
I understand that participation in Fall Fest activities may involve ordinary risks associated with recreational activities, games, food service, walking through event areas, and other event-related activities. I voluntarily choose to participate, or allow my child/minor to participate, and accept the risks that are reasonably associated with these activities.
Release of Liability
To the fullest extent permitted by applicable law, I release and hold harmless Springs Fellowship Church, its pastors, staff, volunteers, representatives, and event workers from claims for injury, loss, or damage arising from participation in Fall Fest, except to the extent a claim cannot legally be waived or released. This form is not intended to waive rights that cannot be waived under applicable law.
Medical Emergency Authorization
If I or my child/minor becomes ill or injured during the event and I cannot be reached, I authorize event representatives to seek reasonable emergency medical assistance. I understand that I am responsible for medical costs not otherwise covered by insurance. This authorization does not require the church or its representatives to provide medical care beyond obtaining appropriate emergency assistance.
Participant Conduct
I agree that I, and any child/minor for whom I am signing, will follow reasonable event rules and safety instructions. I understand that participation may be limited or ended if conduct creates a safety concern for the participant or others.
Emergency Contact
Name:
First Name
Last Name
Relationship:
Phone:
Format: (000) 000-0000.
Alternate Phone:
Format: (000) 000-0000.
Allergies / important information (optional):
Acknowledgment & Signature
I have read this form and understand its terms. I am signing voluntarily. If I am signing for a minor, I state that I am the minor's parent or legal guardian or otherwise have legal authority to sign on the minor's behalf.
Participant/Parent/Guardian Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Printed Name:
First Name
Last Name
Phone:
Format: (000) 000-0000.
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