Journey to Lutherhaus
St. Paul's Lutheran church and school, will Journey to Lutherhaus in Wittenberg, Germany starting 09-15-2019 and ending 11-02-2019. Each person participating is encouraged to be active in body, mind and spirit. Please sign up and join in the journey. An introductory letter with information on how to record your progress and active and spiritual mileage equivalencies will be sent to your email after you have completed sign up. Thanks for joining us!
Journey to Lutherhaus RELEASE FORM (Participant Name), as a Participant in the Journey to Lutherhaus Walking Program being sponsored by St. Pauls Lutheran Church, Arlington, NE. any of my heirs, executors and Administrators fully waive, release and forever discharge all rights and claims I may have against, do hereby release St. Pauls Lutheran Church, Arlington NE, CHI Health, their subsidiaries, affiliates, officers, directors, agents, employees, shareholders, organizers and assignees from any and all claims, demdownloadands, causes of actions, suits, damages, costs and expenses for any and all injuries (personal or bodily), loss of time, pain and suffering or property damage arising out of or occurring in connection with my participation in the Journey to Lutherhaus Walking Program.I recognize and acknowledge that my participation in the Journey to Lutherhaus Walking Program is solely voluntary and I participate at my own risk. I acknowledge that my participation in the Journey to Lutherhaus Walking Program may expose me to risk of injury or possibly death. I further understand that this Release is absolute to all claims, demands, causes of action, suits, damages, costs and expenses which may arise as a result of my injury or death or as a result of any property damage which could occur while I am participating in this Journey to Lutherhaus Walking Program.
I HAVE READ AND FULLY UNDERSTAND THIS DOCUMENT, INCLUDING THE FACT THAT I AM RELEASING AND WAIVING CERTAIN POTENTIAL RIGHTS HELD BY ME AND VOLUNTARILY AND FREELY AGREE TO THE TERMS AND CONDITIONS SET FORTH.
PAR-Q Please review the following questions
If you answered No to all the questions above, it gives a general indications that you may participate in the Journey to Lutherhaus program. The fact you answered NO to the above questions is no guarantee that you will have a normal response to exercise. If you answered yes to any of the above questions then may need permission from a physician before participating in an activity program.
I reviewed the PAR-Q questions and I will begin the program
I plan to see my physician before beginning a new activity
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