Waiver Form for: JH Mission Weekend (7/31/09 – 8/1/09)

Student's name:

Grade and school:                                                                                                                                                                                                                                                     Address:

Email address:

Phone- home/cell:

Emergency contact name and number:

 

The undersigned is the parent or legal guardian of the minor named above.  The undersigned desires for said Minor to attend and/or participate in ministries, events, programs, functions, and activities (referred to as “Activity”), sponsored by, connected with, or related to Family Bible Church of Marshall Michigan, a Michigan not-for-profit corporation (Church).

I understand and acknowledge that the Church will not allow the minor to participate in any Church Activity without releasing and holding the Church harmless from liability arising out of the Minor’s attendance and/or participation in that Activity, including the Minor’s transportation to and from the Activity, if provided by the Church. I have or will investigate all risks involved with the Minor’s attendance and/or participation in any Activity, and further as the parent or legal guardian of said Minor assume any and all risks of personal or bodily injury to said Minor or property damages associated with said Activity.

 By signing this document, on behalf of myself and the Minor, I hereby release and forever discharge Family Bible Church of Marshall Michigan, its officers, directors and employees, agents and any parties volunteering on behalf of the Church from all claims, damages, costs or expenses of any kind arising out of or related to the Minor’s attendance or participation in any Church Activity. I understand that this document is a full complete Release of all claims for personal or bodily injury and property damage which the Minor might sustain as a result of the Minor's attendance and/or participation in any Church activities, regardless of the specific cause thereof, and I further understand that in the event of such personal or bodily injury to the minor, or property damage, that I cannot seek, on behalf of the Minor or myself, any type of recovery or reimbursement whatsoever from the Church or their officers, directors, employees, agents or any parties volunteering on behalf of the Church 

 

_____________________________________________________________________________________________________________________ Print Name of Parent or Legal Guardian

 

____________________________________________________________________________________________________________________Signature & Date

 

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