RELEASE FORMS
Assumption of Risk
I understand that recreational activities have unforeseen hazards and that participation in the Activity, including travel to and from the Activity, includes certain inherent risks, known and unknown, that cannot be eliminated regardless of the care taken to avoid injuries or losses. The specific risks vary, but may involve property damage, bodily injury, emotional injury, personal injury, death, and financial damage. I understand the risks that are involved in my child's participation in the Activity. I agree that I assume any and all risks of injury or harm that they may sustain as a result of my participation in the Activity, including but not limited to those risks listed above.
I agree to these terms
*
Yes
Waiver of Liability
To the fullest extent permitted by law, I agree to hold harmless not liable, to not sue, and to release and discharge the First Baptist Church of Hayden, AL, and its agents, representatives, trustees, elders, officers, affiliates, subsidiaries, divisions, administrators, directors, employees, independent contractors, and volunteers (collectively referred to herein as the “Church”) and the promoter, participants, owners, and lessees of the premises at which the Activity is located, and each of their agents, representatives, trustees, officers, affiliates, subsidiaries, divisions, administrators, directors, employees, independent contractors, and volunteers (collectively referred to herein as the “Premises Entities”) on account of or in connection with any claims, losses, demands causes of action, losses, costs, or expenses for any accident or injury or harm of any kind, regardless of cause or fault, as a result of my participation in the Activity. This release is intended to discharge the Church and Premises Entities from any and all liability whatsoever arising out of or connected in any way with the Activity even though that liability may arise out of the negligence or carelessness on the part of the Church or any of the Premises Entities.
I agree to these terms
*
Yes
Indemnification
I agree to defend, indemnify, and hold the Church and the Premises Entities harmless from and against all claims, demands, causes of action, suits, damages, costs, losses, expenses, injuries, losses, damages, and liabilities of every kind and nature as a result of, arising out of, associated with, or resulting directly or indirectly from my participation in the Activity. This indemnification includes, but is not limited to all amounts incurred by the Church or the Premises Entities for defending any such all claims, suits, damages, costs, losses and expenses, including all attorney’s fees and costs incurred. The indemnity shall apply regardless of any active and/or passive negligent act or omission of the Church or Premises Entities, or other responsible party, or their agents or employees.
I agree to these terms
*
Yes
Photo/Video Release
During the above-described activity, photographs may be taken and videos may be produced and used for future publicity. I give permission for images of myself captured during the Activity, including but not limited to images captured by video, photo, and digital camera to be used for the purposes of the Church, including in promotional materials and publications and agree to waive any rights of compensation or ownership.
I agree to these terms
*
Yes
Authorization and Consent to Medical Treatment
Name of student
*
First Name
Last Name
, has my permission to attend all Student Ministry activities sponsored by First Baptist Church of Hayden, AL from 1/1/2022 to 1/31/2023. This consent form gives permission to seek whatever medical attention is deemed necessary, and releases First Baptist Church of Hayden, AL, its staff, and volunteer leaders of any liability against personal injury or losses of named student. I/we the undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by First Baptist Church of Hayden, AL. I/we understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by First Baptist Church of Hayden, AL, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/we also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/we also agree to bring my/our child home at my/our expense should they become ill or if deemed necessary by the student ministries staff member. I/we agree to submit updated insurance information if our provider/coverage changes. I/we give permission to include my/our student in any videos and/or photographs taken during the course of my student’s involvement. I/we agree that a photocopy of this document shall be a legally binding document.
Parent/Guardian's Name
*
First Name
Last Name
Date
*
I agree to these terms
*
Yes
Emergency Contact
In the event of an emergency at FBCH Students Summer Camp, who should we contact?
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Relationship
*
Any Questions? Email Chris at Chris@fbchayden.com We are so thankful for you!
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