Each adult participant, volunteer, driver, group leader and chaperone, must sign this form.

If you have any questions, please email the Volunteer Coordinator at fallfestvc@gmail.com

Parish/School: Saint Ambrose Catholic Community

Nature of Activity: Fall Festival

 Date: September 19-22, 2024

 Duration: 4 days

RELEASE OF LIABILITY, INDEMNIFICATION AGREEMENT & MEDICAL RELEASE

I, the undersigned, agree on behalf of myself, my heirs, assigns, executors, and personal representatives, to hold harmless, and defend Saint Ambrose Catholic Community, the Archdiocese of Saint Paul and Minneapolis, its officers, directors, agents, employees and representatives (“Releasees”) associated with the Activity from any and all liability claims, injury, loss and damage arising from or in connection with my participation in the Activity.

Further, I AGREE to hold Releasees harmless and indemnify Releasees for any claim or cause of action whatsoever, including but not limited to all claims relating to communicable disease, arising out of the above Activity which takes place during the above identified dates that is brought against Releasees by myself or my family members, heirs, assigns, executors, and personal representatives.

I UNDERSTAND that participation in the described activity involves danger and risk of injury. The inherent danger is understood and voluntarily assumed.

EMERGENCY MEDICAL TREATMENT: If I should require medical treatment and I am not able to communicate my desires to attending physicians or other medical personnel, I give permission for the necessary emergency treatment to be administered.

I HAVE READ THIS DOCUMENT, I UNDERSTAND IT IS AN AUTHORIZATION FOR MEDICAL TREATMENT, INDEMNIFICATION AGREEMENT AND RELEASE OF ALL CLAIMS. I UNDERSTAND I ASSUME ALL RISK INHERENT IN THIS ACTIVITY. I VOLUNTARILY SIGN MYNAME EVIDENCING MY ACCEPTANCE OF THESE PROVISIONS.