ABLE FAITH
RELEASE AND WAIVER OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
IN CONSIDERATION of being permitted to participate in activity-based training (“Activity”), including all related activities, which include, but are not limited to weight training, resistance training, and/or physical therapy, and including volunteer activities during the Activity.
I, FOR MYSELF, MY PERSONAL REPRESENTATIVES, ASSIGNS, HEIRS, AND NEXT OF KIN:
- ACKNOWLEDGE, AGREE, AND REPRESENT that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such, I further agree and warrant that if, at any time, I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity.
- FULLY UNDERSTAND that: (a) THIS ACTIVITY INVOLVES RISKS AND DANGERS, WHETHER KNOWN OR UNKNOWN, OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH
(“Risks”); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or the negligence of the Releasees (as defined below); (c) there may be other risks, or social or economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES
incurred or sustained as a result of my participation, or that of a minor participant, in the Activity; and (d) I fully understand that no medical/health insurance coverage will be provided by Able Faith, Inc., a Texas nonprofit corporation (“Able Faith”). In the event of a medical/health incident, Able Faith shall accept no responsibility for any medical expenses or other costs associated with a medical/health incident nor shall Able Faith pay for any medical/health expense which may be incurred by the participant.
- REPRESENT that I am the parent or legal guardian of the participant(s) named below, or I have obtained permission from the parent/legal guardian of the participant(s) named below to execute this agreement on their I agree that the participant(s) named below and I shall comply with all stated and customary terms, rules, and verbal instructions as conditions for play in the bounce house and Activity.
- ACKNOWLEDGE there are inherent risks associated with use of the equipment and I, on behalf of myself and the minor participant(s) named below, knowingly and freely assume all such risks, both known and unknown, including those that may arise out of the negligence of other participants.
- ACKNOWLEDGE this waiver and release of liability includes, without limitation, injuries which may occur as a result of (1) equipment that may malfunction or break (2) any slip, fall, dropping of equipment, and (3) negligent instruction or
- HEREBY RELEASE ANY CLAIMS RESULTING FROM EXPOSURE OR POTENTIAL EXPOSURE TO ANY INDIVIDUALS AT ABLE FAITH WHO HAVE OR MAY HAVE COVID-19 OR PERMUTATIONS
- HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the sanctioning organization(s), its administrators, directors, agents, officers, members, volunteers, and employees, other participants, officials, medical/rescue personnel, sponsors, advertisers, owners and lessees of the premises on which the Activity is conducted (individually and collectively the “Releasees”) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT MEDICAL ASSISTANCE OR RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a
claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, reasonable attorney’s fees, losses, liabilities, damages, or costs which may be incurred as the result of such claim.
I ACKNOWLEDGE THAT I AM AGE 18 OR OLDER OR AM THE GUARDIAN OF A MINOR, HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
PARTICIPANT (GUARDIAN): DATE: {sign_date}
NAME OF PARTICIPANT: {name} DATE OF BIRTH: {dob}
EMERGENCY CONTACT: {contact_name}
EMERGENCY CONTACT PHONE: {contact_phone}
CONTACT RELATION: {contact_relation}
Able Faith Center
