Adult Leader Waiver

2021 Adult Medical Release & Waiver

2021 Adult Medical Release & Waiver

RELEASE:

In consideration of participation in the Church Activity, I agree to fully and forever release, Faithbridge Church, its staff, officers, elders and trustees, volunteers, host homes, agents and employees (hereinafter collectively referred to as “Church”) from any and all liability, claims, demands, damages, actions, or causes of action, whatsoever, belonging to me arising out of or relating to the Activity, regardless of cause, even if such cause is the result of Church negligence. This release covers everything that happens from the time I arrive at the Church until the conclusion of the Activity.

CONSENT:

To the best of my knowledge, I can fully participate in this Activity. I am aware of the risks and hazards connected with the Activity, and I hereby elect to voluntarily participate in said Activity, knowing that the Activity may be hazardous. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury that may be sustained by me or any loss or damage to property owned by me, as a result of my being engaged in such Activity, regardless of who caused the damage.

HOLD HARMLESS:

It is my express intent that this release and hold-harmless agreement shall bind me, my heirs, assigns and personal representatives, the members of my family, and spouse (if any), and that it shall be deemed as a release, waiver, discharge and covenant-not-to-sue the Church. I hereby further agree to defend and indemnify the Church for any claim asserted or action brought against the Church arising out of or relating to my participation in the Activity, including but not limited to the Church’s attorneys’ fees. I hereby further agree that this waiver of liability and hold-harmless agreement shall be construed in accordance with the laws of the State of Texas.

MEDICAL COSTS:

I understand and agree that the Church will not be responsible for any medical costs associated with any injury I may sustain.

RULES AND REGULATIONS:

I further agree to become familiar with the rules and regulations of the Church concerning participant conduct and not to violate said rules of any directive or instruction made by the person or persons in charge of said Activity.

INSURANCE:

I hereby acknowledge that I have adequate health and accident insurance to cover any personal injury that I may be sustain during the Activity. If I do not have adequate health insurance, I agree that I, personally, will be responsible for any medical expenses incurred.

MEDICAL TREATMENT CONSENT:

I hereby further authorize, in advance, any necessary medical treatment required by me while in attendance at this Activity. I hereby give permission to the medical personnel to order injection and/or anesthesia and/or surgery for me. I further agree to assume responsibility for the costs of any specialized evacuation and of any medical care and acknowledge that these costs are the financial responsibility of the undersigned. I also acknowledge that I have/will notify the Church’s staff of any special medical needs or information required by me.

COVID-19:

The World Health Organization has declared COVID-19 a worldwide pandemic. I recognize the contagious nature of COVID-19 and understand that the Activity carries a risk of contracting COVID-19. I do not hold Faithbridge Church and/or any of its associated participants responsible in the event that I and/or any family member were to contract COVID-19 while participating in the Activity. By signing below, I agree to indemnify, defend, and hold harmless Faithbridge Church against all expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against the released party due to injury, loss, or death from or related to COVID-19. In addition, I will not participate in the Activity if I was diagnosed with and/or was directly exposed to someone with COVID-19 within the 14 days prior to the Activity or if I have shown symptoms of COVID-19 (consisting of, but not limited to: fever, cough, shortness of breath, loss of taste) within the 14 days prior to the Activity. I agree to inform the Activity leader immediately if I begin to experience COVID-19 symptoms while participating in the Activity. I understand that I serve in the Activity at my own risk and willingness.

INFORMED AGREEMENT:

I have reviewed this Agreement and am aware of the risks involved in participating in the Activity and the possible injuries that may occur. I freely and voluntarily agree to voluntarily participate in the Activity. In signing this Agreement, I represent that I understand this Agreement and sign voluntarily as an act of my own free will. The Church has not made any oral representations, statements or inducements, apart from this Agreement. I am at least eighteen (18) years of age and fully competent to execute this Agreement.

Faithbridge

Making more and stronger disciples of Jesus Christ, who make more and stronger disciples.

Faithbridge Church
18000 Stuebner Airline Rd
Spring, TX 77379

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