Ministry Name and Address: Christian Challenge, Box 832, Manhattan, KS 66505
Event Date: March 09-13, 2019
I/We hereby apply for an opportunity to attend the referenced retreat event with the referenced Christian Challenge ministry. This application is entirely voluntary on my part and is made with the knowledge of the risks inherent in any extracurricular activity, including, but not limited to: (1) the possibility of bodily injury or property damage in this activity; or (2) the possibility of being injured in an accident while traveling in an automobile or any other form of transportation.
I/We hereby agree to accompany the Christian Challenge group on the above referenced event. I/We hereby authorize Christian Challenge to obtain, through a physician of its own choice, any first aid or emergency medical care that may become reasonably necessary for me in the course of such event or such travel.
I/WE PERSONALLY ASSUME FULL RESPONSIBILITY FOR THE RISKS AND CONSEQUENCES THAT MAY OCCUR DURING THIS EVENT. I/WE AGREE TO HOLD HARMLESS CHRISTIAN CHALLENGE OR ANYONE ACTING ON THEIR BEHALF FOR ANY INJURY OR PROPERTY DAMAGE THAT I/WE MAY SUSTAIN IN THE COURSE OF THIS EVENT; AND I/WE HEREBY WAIVE ANY ACTION, CAUSE OF ACTION, CLAIM OR DEMAND UPON CHRISTIAN CHALLENGE OR ANYONE ACTING ON THEIR BEHALF FOR ALL LIABILITY OF ANY KIND WHICH ARISES DURING THE COURSE OF THIS EVENT, INCLUDING, BUT NOT LIMITED TO, ANY SEXUAL MISCONDUCT AGAINST ME/US AND ANY PERSONAL INJURY OR PROPERTY DAMAGE THAT I/WE MIGHT SUSTAIN.