Middle School Serve Day
  On Friday, October 3 our middle school students will serve at Joy Meadows, Inc.

  By signing this form, you acknowledge that your student has permission to attend the KCC serve day and that
  you agree with the Joy Meadows.          
  Transportation will be provided by the school with the exception of the junior class. If your student will not   
  attend serve day, please email me, Holly Barker - hbarker@mykccs.org .

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Joy Meadows Waiver
Release and Waiver of Liability All Joy Meadows, Inc. participants and volunteers must fill out a Waiver and Release of Liability before participating in any events or activities. Please read carefully! Upon signing and returning to Joy Meadows, Inc., this is a legal agreement to the following: This Release and Waiver of Liability (the “Release”) is executed on the DATE and TIME listed below, by the person listed below (the “Participant”) in favor of Joy Meadows Inc., a Kansas not for profit corporation, and its directors, officers, employees, volunteers and agents (collectively, the “Released Parties”). Joy Meadows, Inc. (“Released Party”) is a non-commercial, not for profit organization that provides opportunities for volunteer work and recreational, educational activities and other activities on and off of its premises. The purpose of this agreement is to exempt, waive and relieve the Released Parties from any and all liability for wrongful death, personal injury, and property damage, including, but not limited to, liability arising from the negligence of Released Parties. “Released Parties” include Joy Meadows, Inc. and their representatives, administrators, directors, agents, service providers, employees, and volunteers; other participants, sponsoring agencies, sponsors, and advertisers; and, if applicable, the owners, operators, and lessors of premises on which the activities or events take place. In consideration of the undersigned Participant being allowed to participate in any way in Joy Meadows, Inc. related events and activities, the Undersigned (“Undersigned” means only the Participant when the Participant is age 18 or older or it means both the Participant and the Participant’s parent(s) or legal guardian(s) when the Participant is under the age of 18) agrees and acknowledges as follows: 1. RISKS OF ACTIVITY. Participant will be taking part in activities that can be hazardous and involve the risk of physical injury and/or death. Many activities take place outdoors where there are risks including, but not limited to natural conditions of land, domesticated animals, and wildlife. The activities are inherently dangerous and Undersigned fully realizes the dangers of participating in the activities. The dangers and risks of the activities include but are not limited to the condition of the premises and equipment, and the acts, omissions, representations, carelessness, and/or negligence of the Released Parties. Recognizing the risks and dangers, the Undersigned voluntarily chooses for Participant to participate in the activities and expressly assumes all risks and dangers of the participation in the activity, whether or not described above, known or unknown, inherent, or otherwise. 2. RELEASE AND INDEMNIFICATION. Undersigned (a) unconditionally releases, forever discharges, and agrees not to sue the Released Parties for any claims or causes of action for any liability or loss of any nature, including personal injury, death, and property damage, arising out of or relating to Participant’s participation in the activities, including, but not limited to claims of negligence, breach of warranty, and/or breach of contract the Undersigned may or will have against the Released Parties; and (b) agrees to indemnify, defend, and hold harmless the Released Parties from and against any liability or damage of any kind and from any suits, claims or demands, including legal fees and expenses whether or not in litigation, arising out of, or related to, Participant’s participation in the activities. 3. MISCELLANEOUS. Undersigned agrees (a) Participant will not engage in any activities prohibited by any applicable laws, statutes, regulations and ordinances; (b) this agreement shall be governed by the laws of the State of Kansas and the exclusive jurisdiction and venue for any claim shall be located in the state court in Kansas, county of Leavenworth and (c) this agreement shall be binding upon the subrogors, distributors, heirs, next of kin, executors, and personal representatives of the Undersigned. I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING LEGAL RIGHTS THAT OTHERWISE MAY EXIST.

FOR PARTICIPANTS UNDER THE AGE OF 18 Undersigned parent or legal guardian acknowledges that he/she is not only signing this Agreement on his/her behalf, but that he/she is also signing on behalf of the minor and that the minor shall be bound by all the terms of this agreement. Additionally, by signing this agreement as the parent or legal guardian of a minor, the parent or legal guardian understands that he/she is also waiving rights on behalf of the minor that the minor otherwise may have. The Undersigned parent or legal guardian agrees that, but for the foregoing, the minor would not be permitted to participate in the activities. If signing as the parent or guardian of a minor Participant, signing represents that they are a legal parent or guardian of the minor.

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Name of Participant (Last, First) *
Participant Date of Birth (mm/dd/year) *
  Parent/Legal Guardian or Representative Signature   *
Relationship to the Participant *
  Parent/Legal Guardian Phone #   *
Email *
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