The participants registered through this form will participate in activities sponsored by the Columbia Church of Christ (the “Church”). These activities may include but are not limited to “midweek services, sports and recreational events such as touch football, football leagues, roller skating/blading, ice skating, bowling, ultimate frisbee, soccer, softball, softball leagues, basketball, basketball leagues, field day, lock-in, bonfire, movies, water parks, swim parties, Christmas party, Saluda Shoals Park, Riverbanks Zoo, Frankie’s Fun Park, and the like. Also included are out of town trips such as Paramount’s Carowinds Theme Park, Charleston beach trip, white water rafting and Teen Week.
In signing this Release, I hereby waive all claims, to the extent permitted by law, against the Church and any associated church in the International Churches of Christ, their employees, agents, members and other persons or entities who lead or direct these activities, in the event I am injured or become ill, or in the event of accident or death occurring during or by reason of the activity or excursion. By signing this release, I also intend to hold harmless, exempt and relieve the persons and entities mentioned above from liability for personal injury, property damage, or wrongful death caused by negligence.
Should it be necessary for the participant to receive medical attention/treatment while participating in these activities, I hereby give permission for the person(s) leading or directing these activities, to use their best judgment in obtaining medical attention/treatment for the participant’s benefit. I further give permission to the physician/medical professional that is selected by the person(s) leading or directing these activities, to render medical attention or administer medical treatment as that physician/medical professional deems appropriate and necessary. I also give permission for the person(s) leading or directing these activities to use their best judgment to otherwise render any assistance (i.e., first aid, C.P.R., etc.) to the participant in the event of injury or illness.
I understand that none of the above named persons or entities will provide or guarantee insurance coverage for medical or hospital costs for the participant, which are associated with injury or illness occurring in the course of these activities (unless the participant is already a covered dependent under the employee health plan of one of the foregoing entities). Therefore, any costs incurred for such medical attention/treatment will be my sole responsibility.
By entering my name below, I acknowledge that I have read and understand the terms of this release, have been fully and completely advised of the potential dangers incidental to engaging in these activities, expressly assume all the dangers of these activities, and am aware of the legal consequences of signing this release. I intend for this Release to be valid for one year from the time I sign this Release, as noted below.
* Note: None of the persons leading or directing these activities may accept responsibility for alerting a participant about required medication, or administering such medication.
