Release Waiver and Indemnity Agreement *
This waiver and agreement is for The Vacation Bible School of Cornerstone Bible Church on August 3rd through August 7th of 2015. I/We understand and agree to release, waive, indemnify, and hold harmless CBC and its directors, officers, employees, agents and representatives, with respect to any claims, costs, damages, losses, injuries, causes of action, or liability based on or arising out of the participation of the below-named participant (the “Participant”) in the above described event ("VBS"). This release waiver and indemnity includes the Participant and the Participant’s parents, guardians, heirs, successors, assigns and estate. I/We also authorize the duly authorized agents and representatives of Cornerstone Bible Church to render or obtain such emergency medical care or treatment as may be necessary for the Participant should any injury, harm, or accident occur to the Participant while participating in VBS. I/We understand that there are risks associated with any medical procedure and, knowing these risks, I/we agree to assume the risks. I/We further state and acknowledge that I/we are authorized to sign this Agreement, that I/we understand the terms herein are contractual and not a mere recital, that I/we have signed this document of my/our free act and volition, having read it carefully before signing it. A copy of this Agreement is as valid as an original. I/We acknowledges that participation in the event/s and activity/ies described herein also constitutes approval to be videoed and photographed and for those videos or photographs to be used in Cornerstone Bible Church-related publications, including on the Cornerstone Bible Church website, without compensation therefor. By selecting "yes" from the dropdown menu and typing my/our name below, I/we have executed this affirmation and release. I/we declare that the name below is my/our own and by typing it into the form, I/we am officially signing this form. I/we, the undersigned am/are responsible for decisions for the Participant and am/are authorized to consent to services to be rendered, and no other consent is required by law.
