Atlanta Hawks vs Golden State Warriors

ASSUMPTION OF RISK, WAIVER, RELEASE AND HOLD HARMLESS AGREEMENT ("RELEASE")

A COMPLETED FORM MUST BE ON FILE BEFORE YOU CAN PARTICIPATE IN THE MINISTRY ACTIVITY

ELECTRONIC SIGNATURE CONSENT: You agree and consent to the use of a key pad, mouse, digit or other device to select an item, button, icon or similar act/ action in accessing or making any transactions regarding any waiver, release, agreement, acknowledgement, consent, terms, disclosures, authorizations, or conditions, constitutes your signature, acceptance, and agreement as if actually signed by you in writing. Further you agree no certification authority or other third party verification is necessary to the validity of your electronic signature; and the lack of such certification or third party verification will not in any way affect the enforceability of your signature or the resulting agreement between you and Berean Christian Church, Inc. In addition: Any electronic document bearing a user's electronic signature will be considered "in writing" and "signed". Any user's electronic-signed document shall be deemed to be an "original" document when printed and used in the normal course of business. Absent manifest error, the admissibility, validity, or use of any electronic‐signed electronic document cannot be contested.

I, the above named participant and undersigned, hereby acknowledge that I will attend the ATLANTA HAWKS and GOLDEN STATE WARRIORS professional basketball game at Philips Arena, 1 Philips Dr., Atlanta, GA 30303, (hereinafter "Activity") with Berean Christian Church, scheduled Friday, March 2, 2018. I understand this activity involves highway travel to and from Philips Arena, 1 Philips Dr., Atlanta, GA 30303, and acknowledge that Berean Christian Church, Inc. ("Berean") is the legal entity that will provide and operate the vehicle(s) for this activity.

As a condition of and in consideration of permitting me to participate in the BCC’s Activity and travel, I freely and voluntarily agree to sign this ASSUMPTION OF RISK, WAIVER, RELEASE AND HOLD HARMLESS AGREEMENT form (“Release”) in the space provided below indicating acknowledgment and agreement with the following:

1. I understand the Activity’s departure and return site is Berean Christian Church, 2201 Young Rd., Stone Mountain, Georgia 30088. I understand Berean staff and/or adult volunteers may accompany BCC’s Activity participants while traveling to and from the departure and destination sites.
2. ASSUMPTION OF RISKS: I understand and agree that it is impossible to eliminate all risk involved in domestic travel, which may include private or public vehicle, and/or local transportation systems, including places of dining and entertainment, and many other factors outside the control of Berean. The risk may range in severity from minor to serious and could include even death. With my understanding of these risks, I hereby voluntarily agree to ASSUME ALL RISKS associated with my participation, travel, dining, and entertainment in such Activity or program, including, merely observing an activity or program, as well as travel in vehicles provided or arranged by Berean Christian Church.
3. RELEASE, WAIVER and HOLD HARMLESS: I, for myself, my heirs, personal representatives or assigns, do hereby knowingly, freely and voluntarily RELEASE, WAIVE, COVENANT NOT TO SUE, and DISCHARGE Berean Christian Church, Inc., its board of directors, officers, pastors, employees, volunteers, representatives, agents and affiliate entities (hereinafter individually and collectively "Berean") from any and all liability, claims, causes of action, suits, including negligence resulting in personal injury, accidents, or illness (including death), and property damage, breach of contract, or loss arising from, but not limited to, my participation in this Activity.
4. INDEMINFICATION: I further agree that if, despite this RELEASE, WAIVER OF LIABILITY, and ASSUMPTION OF RISK, I or anyone on my behalf, makes a claim against Berean, I will INDEMNIFY, DEFEND, and HOLD HARMLESS Berean from any loss, liability, damage, or cost which any may incur as the result of such claim for injuries, illness (including death), damages, medical expenses, or any other loss, claims, causes of action, including negligence resulting in personal injury to me (including attorney’s fees) which may arise from or related to my participation in Berean’s transportation. This indemnification shall survive the termination of the RELEASE
5. I understand and agree that Berean ASSUME NO RESPONSIBILITY whatsoever in connection with the operation, safety, condition, service or failure to adhere to a published schedule of any place of business, arena, sports venue or restaurant, etc. which may be used for services to the Activity participants.
6. I agree that I will conduct myself in a responsible manner at all times during this Activity program, follow the established itinerary, local, state, and federal laws and to refrain from engaging in illegal activity or have disruptive or unsafe behavior violating Berean Christian Church or the Activity’s rules and standards. I agree that if I do not comply with such laws or group rules and standards, I may be sent home at my expense and waive the right to a refund of any and all fees.
7. I understand that I am responsible for any damage I may cause while on this Activity to the destination facility, or other facilities, and I agree to pay for any such damages that I may cause and not hold Berean responsible.
8. I understand and agree that Berean, its agents and ministry leaders, reserves the right, either prior to or after departure, in its good faith discretion, to change any part of the planned destination sites as necessary. Changes may include, but are not limited to, the right of Berean, its agents and ministry leaders to alter or omit any point of the itinerary, to substitute restaurant, activities, leaders, or to change any means of transportation without notice and without allowance for a refund, with the liability for increased costs, if any, to be the responsibility of the participants.
9. If a dispute over this RELEASE or any claim for damages arises on my behalf, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. If the parties hereto cannot agree upon such process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the civil rules of the American Arbitration Association.
10. Should any portion of this RELEASE be deemed to be unenforceable or contrary to public policy, the remaining portions of this RELEASE shall survive and be enforceable. This RELEASE shall be governed by, subject to, and construed in all respects in accordance with the laws of the State of Georgia.

I, THE UNDERSIGNED PARTICIPANT, CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE, COMPETENT AND TO THE BEST OF MY KNOWLEDGE, I HAVE PROVIDED TRUE, CORRECT AND ACCURATE INFORMATION IN THIS DOCUMENT, AND I HAVE READ THE ABOVE ASSUMPTION OF RISKS, WAIVER, RELEASE, HOLD HARMLESS AND INDEMNITY AGREEMENT PROVISIONS AND FULLY UNDERSTAND THE TERMS CONTAINED IN EACH PROVISION, AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE. I UNDERSTAND THAT BEREAN CHRISTIAN CHURCH, ITS BOARD OF DIRECTORS, OFFICERS, PASTORS, EMPLOYEES, VOLUNTEERS, REPRESENTATIVES, AGENTS, AND AFFILIATE ENTITIES, IN REQUESTING AND RECEIVING THIS RELEASE, HAVE RELIED UPON THE SAME IN ALLOWING MY PARTICIPATION IN THE ABOVE DESCRIBED ACTIVITY. I ACKNOWLEDGE THAT I AM SIGNING THIS DOCUMENT FREELY AND VOLUNTARILY, AND I INTEND BY MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

EMERGENCY INFORMATION, CONTACT and MEDICAL AUTHORIZATION:

EMERGENCY CONTACT:

MEDICAL AUTHORIZATION: : I hereby give my permission to Berean Christian Church, Inc. assigned medical personnel or Berean Christian Church's ministry leaders (Berean representative) to secure emergency medical treatment including but not limited to, first aid, CPR, authorize emergency transportation, admission to any hospital, tests, surgery or general anesthesia, so long as care is provided by persons or facilities licensed in the jurisdiction of the State of Georgia. I understand that a conscientious effort will be made to locate my emergency contacts in case of an emergency. However, in the event such individuals cannot be reached in an emergency, I hereby give permission to the physician selected by Berean representative to secure and administer treatment, including hospitalization, for me. I further acknowledge that any medical treatment ordered is my financial responsibility and not that of Berean Christian Church, its board of directors, officers, pastors, employees, volunteers, agents, or affiliate entities.

I certify the above emergency contact information is true and correct and I consent to the medical authorization written above.

PHOTOGRAPH/VIDEO RELEASE (OPTIONAL): I agree and authorize any photograph, film or video taken of me while participating in this Activity may be freely used to publish and republish for Berean Christian Church’s printed publication, website, social media, and promotional and/or training materials.

ASSUMPTION OF RISK, WAIVER, RELEASE AND HOLD HARMLESS AGREEMENT ("RELEASE")

A COMPLETED FORM MUST BE ON FILE BEFORE YOUR CHILD CAN PARTICIPATE IN THE OFFSITE ACTIVITIES

ELECTRONIC SIGNATURE CONSENT: You agree and consent to the use of a key pad, mouse, digit or other device to select an item, button, icon or similar act/ action in accessing or making any transactions regarding any waiver, release, agreement, acknowledgement, consent, terms, disclosures, authorizations, or conditions, constitutes your signature, acceptance, and agreement as if actually signed by you in writing. Further you agree no certification authority or other third party verification is necessary to the validity of your electronic signature; and the lack of such certification or third party verification will not in any way affect the enforceability of your signature or the resulting agreement between you and Berean Christian Church, Inc. In addition: Any electronic document bearing a user's electronic signature will be considered "in writing" and "signed". Any user's electronic-signed document shall be deemed to be an "original" document when printed and used in the normal course of business. Absent manifest error, the admissibility, validity, or use of any electronic‐signed electronic document cannot be contested.

I am the parent, legal guardian or custodian of the above named participant, minor child(“child”), andI hereby acknowledge that my child will participate in Berean Christian Church’s visit to theTribulation Trail by Eastside Baptist Church (hereinafter BCC’sActivity), scheduled Saturday, October 28, 2017, departure at 6:30 p.m. and returning on or about 10:30 p.m. I understand this activity involves road and or highway travel. I also understand and acknowledge that Berean Christian Church, Inc. (hereinafter “Berean”) is the legal entity that owns and operates the vehicle(s) used for transportation to and from this Activity.

As a condition and in consideration of allowing my/our child’s participation in the BCC’s Activity and/or programs, I, the undersigned, parent or guardian hereby give permission for my child to participate in this Activity. Also, on my behalf and my child’s behalf, I have voluntarily signed this ASSUMPTION OF RISK, WAIVER, RELEASE AND HOLD HARMLESS AGREEMENT form (“RELEASE”) in the space provided below indicating my acknowledgment, understanding,and agreement withthe following:

1. I certify that, in advance of my child’s participation in the BCC’s Activity, I am making an informed choice regarding my child’s participation in the BCC’s Activitywhich may include, but not limited to, transportation to and from Eastside Baptist Church, 4010 Highway 138, Stockbridge, GA 30281 and walking the Tribulation Trail.I understand the departure and return site is Berean Christian Church, 171 Collier Road, Stockbridge, Georgia 30281. I understand Berean staff and/or adult volunteers shall accompany my child while during this Activity.
2. I UNDERSTAND PARTICIPANTS IN THIS ACTIVITY MAY WALK UP TO 1 MILE, ANDI CERTIFY THAT MY CHILD IS IN GOOD PHYSICAL AND MENTAL HEALTH AND IS ABLE TO PARTICIPATE IN AND WALK THE TRIBULATION TRIAL WITHOUT MEDICAL SUPERVISION.
3. ASSUMPTION OF RISKS:I acknowledge, understand and agree that voluntary participation in the BCC’s Activity involves known and unknown inherent risks. These risk and dangers may be caused by the negligence of the participant or the negligence of others, including, but not limited the host facility Eastside Baptist Church. Further, I understand and agree that it is impossible to eliminate all risk involved in road and or highway travel and many other factors outside the control of Berean. The risk may range in severity from minor to serious and could include even death. With my understanding of these risks, Ihereby voluntarily agree to ASSUME ALL RISKS associated with my child’s participation in such BCC’s Activity, including, merely observing an activity and travel to and from this event.
4. RELEASE, WAIVER, COVENANT NOT TO SUE AND DISCHARGE: I, for myself, my heirs, personal representatives or assigns, do hereby knowingly, freely and voluntarily, agree to RELEASE, WAIVE, COVENANT NOT TO SUE, and DISCHARGE Berean Christian Church, Inc., its pastors, board of directors, officers, employees, volunteers, agents or affiliate entities (hereinafter “Berean”)from any and all liability, claims, causes of action, suits, including negligence resulting in personal injury, accidents, or illness (including death), and property damage, or expenses, loss of services, compensations, judgements, demands or loss arising from, but not limited to, my child’s participation inthe BCC’s Activity and travel to and from this event.
5. INDEMNIFY, DEFEND and HOLD HARMLESS: I further agree that if, despite this RELEASE, WAIVER OF LIABILITY, and ASSUMPTION OF RISK, I or anyone on my and/or my child’s behalf, makes a claim against Berean, I will INDEMNIFY, DEFEND, and HOLD HARMLESS Berean from any loss, liability, damage, or cost which any may incur as the result of such claim for injuries, illness (including death), damages, medical expenses, or any other loss, claims, causes of action, including negligence resulting in personal injury to my child, or family or me (including attorney’s fees) which may arise from or related to my child’s participation in Bereans transportation. This indemnification shall survive the termination of the RELEASE.
6. My child agrees to abide by all the rules, regulations and safety instructions stated by Berean Christian Church, its staff, agents, volunteers, Eastside Baptist Church’s representatives or agents, and security personnel. I understand that Berean will not be liable if my child fails to cooperate with regulations, and that any infraction of the rules may result in immediate dismissal from this activity.
7. If a dispute over this RELEASEor any claim for damages arises, on my behalf and my child’s behalf, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. If the parties hereto cannot agree upon such process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the civil rules of the American Arbitration Association.

    

8. Should any portion of this RELEASE be deemed to be unenforceable or contrary to public policy, the remaining portions of this RELEASE shall survive and be enforceable. This RELEASE shall be governed by, subject to, and construed in all respects in accordance with the laws of the State of Georgia.

I, THE UNDERSIGNED, CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE, COMPETENT AND AM THE PARENT, LEGAL GUARDIAN, OR CUSTODIAN OF THE CHILD NAMED ABOVE. I CERTIFY TO THE BEST OF MY KNOWLEDGE, I HAVE PROVIDED TRUE, CORRECT AND ACCURATE INFORMATION IN THIS DOCUMENT, AND I HAVE READ THE ABOVE ASSUMPTION OF RISKS, WAIVER, RELEASE AND HOLD HARMLESS AGREEMENT PROVISIONS AND FULLY UNDERSTAND THE TERMS CONTAINED IN EACH PROVISION, AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE. I UNDERSTAND THAT BEREAN CHRISTIAN CHURCH, IN REQUESTING AND RECEIVING THIS RELEASE HAS RELIED UPON IT TO ALLOW MY CHILD’S PARTICIPATION IN THE ABOVE REFERENCED ACTIVITY AND TRAVEL. FURTHERMORE, I ACKNOWLEDGE THAT I AM SIGNING THIS DOCUMENT FREELY AND VOLUNTARILY, AND I INTEND BY MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

EMERGENCY CONTACT and MEDICAL AUTHORIZATION:

EMERGENCY CONTACT:

MEDICAL AUTHORIZATION: : I hereby give my permission to the medical personnel selected by Berean Christian Church staff and/or adult leaders to secure emergency medical treatment including, but not limited to, first aid, CPR, authorize emergency transportation, admission to any hospital, tests, surgery or general anesthesia, so long as care is provided by persons or facilities licensed in the State of Georgia. I understand that a conscientious effort will be made to locate me in case of an emergency. However, in the event I cannot be reached in an emergency, I hereby give permission to the physician selected by Berean’s representative or adult leaders to secure and administer treatment, including hospitalization, for the child named above. I further acknowledge that any medical treatment ordered is my financial responsibility and not that of Berean Christian Church, Inc., its pastors, directors, officers, employees, volunteers, agents or affiliate entities.

I certify the above emergency contact information is true and correct and I consent to the medical authorization written above

PHOTOGRAPH AND VIDEO RELEASE (OPTIONAL):

I agree and authorize any photograph, film or video taken of my child while participating in Berean Christian Church’s visit to Eastside Baptist Church may be freely used to publish and republish for Berean Christian Church’s printed publication, website, social media, romotional and/or training materials.