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VOLUNTARY RELEASE, ASSUMPTION OF RISK

By Carl Gibson,2014-03-21 15:17
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    ADULT

    ASSUMPTION OF RISK, INDEMNITY,

    AND VOLUNTARY RELEASE, AGREEMENT

I, ______________________________ wish to participate in Cottonwood Church’s Incite Young Adults

     Sky High event, March 15, 2013 which may include but not limited to a variety of activities as listed on the attached document (the “Program”). In exchange for my participation in the Program, I:

    1. Acknowledge and understand the nature of the Program and accept complete responsibility for my child’s

    health and well-being in the Program. I further acknowledge and understand that no responsibility is

    assumed by Cottonwood Church (the “Church”) for the Program.

    2. Am not aware of any medical condition or disability that my child has that would prohibit him/her from

    participating in the Program and agree to inform the Church of any such condition that could cause my

    child or others harm. I acknowledge that my child has adequate health and accident insurance coverage

    throughout his/her participation in the Program.

    3. Agree to ASSUME ALL RISK of physical and/or emotional injury, sickness, death, damage and expense

    arising from or related to my child’s participation in the Program.

    4. AGREE TO INDEMNIFY, RELEASE, WAIVE, DISCHARGE AND HOLD HARMLESS THE CHURCH FROM ANY

    LIABILITY, LOSS, DAMAGE OR COST FOR INJURY, SICKNESS OR DEATH AND ANY DAMAGE THE CHURCH

    MAY INCUR DUE TO MY CHILD’S PARTICIPATION IN THE PROGRAM WHETHER CAUSED BY THE

    NEGLIGENCE OF THE CHURCH OR OTHERWISE. *

    5. Agree that this Voluntary Release, Assumption of Risk and Indemnity Agreement is intended to be as

    broad and inclusive as permitted by law, and that if any portion of this Agreement is held invalid it is

    agreed that the balance will continue in full legal force and effect. This Agreement is governed by and

    construed in accordance with the laws of the State of California.

    By signing this Agreement, I acknowledge that I have carefully read it and understand it; I am signing my name knowingly and voluntarily to evidence my understanding and acceptance of its terms.

    ___________________________________________ ___________________________________________ (Signature) (Print Name of Minor Child)

    ___________________________________________ ___________________________________________ (Print Name of Parent/Legal Guardian) (Date)

___________________________________________

    (Street)

___________________________________________

    (City, State, Zip Code)

    * In this Agreement, references to “COTTONWOOD CHURCH” or the “Church” shall be read to include the pastors, employees, representatives, program sponsors, and agents of Cottonwood Church.

    ASSUMPTION OF RISK, INDEMNITY,

    AND VOLUNTARY RELEASE, AGREEMENT

    List of Possible Activities

The activities listed below may be modified, accelerated or adjusted so as to accomplish the purposes of the

    Program, and as a result there may be an increased risk of personal injury, property damage and loss of life than

    would normally be associated with the activities.

; Sliding

    ; Sliding on a trampoline

    ; Jumping on a trampoline

    ; Walking

    ; Walking on a trampoline

    ; Sitting

    ; Running

    ; Holding a ball

    ; Catching a ball

    ; Throwing a ball

    ; Playing dodgeball on a trampoline

    ; Flipping

    ; Jumping into a foam pit

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