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I am the parent, legal guardian or custodian of the above-named participant, minor child (“child”), and I hereby acknowledge that my child will participate in Berean Christian Church’s HYPE Night Trip (hereinafter the HYPE Night Activities), in McDonough, Georgia. Travel to/from the Tabernacle of Praise Church Int’l is scheduled Friday, August 18, 2017. I understand this activity involves highway travel as well in or near McDonough, GA. I understand 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 and in consideration of allowing my child’s participation in the HYPE Night Activities and/or programs and use of Berean’s facilities, I, the undersigned parent or guardian, hereby give permission for my child to travel to, attend and participate in the HYPE Night Activities. Also, on my behalf and my child’s behalf have signed this ASSUMPTION OF RISK, WAIVER, RELEASE AND HOLD HARMLESS AGREEMENT form (“Release”) in the space provided below indicating my acknowledgment, understanding, and agreement with the following:
- I certify that, in advance of my child’s participation in the HYPE Night Activities, I am making an informed choice regarding my child’s participation in the HYPE Night Activities which may include, but not limited to, transportation to and from HYPE Night (1642 Hwy 42, McDonough, GA 30253), instructional classes, group activities, group meetings, group indoor and outdoor games, and evening worship services. I understand the departure and return site is Berean Christian Church Henry, 171 Collier Road, Stockbridge, Georgia 30281. I understand Berean staff and/or adult volunteers shall accompany my child while traveling (to and from) and during the HYPE Night.
- ASSUMPTION OF RISKS: I acknowledge, understand and agree that voluntary participation in the HYPE Night Activities involve inherent risks, both known and unknown. These risks and dangers may be caused by the negligence of the participant or the negligence of others. 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, I hereby voluntarily agree to ASSUME ALL RISKS associated with my child’s participation in such HYPE Night Activities, including, merely observing an activity and travel to and from this event.
- RELEASE, WAIVER, INDEMNIFY and HOLD HARMLESS: 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, directors, officers, employees, volunteers, agents or affiliate entities 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 in the HYPE Night Activities and travel to and from this event. I further agree to INDEMNIFY, DEFEND, and HOLD HARMLESS Berean Christian Church, Inc., its pastors, directors, officers, employees, volunteers, agents or affiliate entities from any and all liabilities, claims, judgements, costs and expenses, including reasonable attorney’s fees, made by other individuals or entities as a result of my child’s actions, behavior or inactions during the HYPE Night Activities and travel to and from this event. This indemnification shall survive the termination of the Release.
- My child agrees to abide by all the rules, regulations and safety instructions stated by Berean Christian Church Henry, its agents and staff, and volunteers. I understand that Berean Christian Church Henry 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 the retreat at my expense.
- I certify that my child is in good physical and mental health and is able to participate in the HYPE Night Activities without medical supervision.