Activity Participation Agreement
I acknowledge that participation in this activity (the "Actvity") involves risk and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property and financial damage.
I accept the risks of injury associated with participation in and transportation to and from the Activity. I also accept personal financial responsibility for any injury or other loss sustained during the Activity or during transportation to and from the activity, as well as for any medical treatment rendered that is authorized by Damascus Community Church or its agents, employees, volunteers, or any other representatives (collectively referred to hereinafter as the “Activity Sponsor”). Further, I release and promise to indemnify, defend, and hold harmless the Activity Sponsor for any injury arising directly or indirectly out of the Activity or transportation to and from the Activity, whether such injury arises out of the negligence of the Activity Sponsor, myself, or otherwise.
*By entering my name in the box above, I am providing my digital signature for this field.
Consent to Medical Treatment
I understand that in the event medical intervention is needed and I am unable to speak for myself, every attempt will be made to contact immediately the emergeny contact listed on this form. In the event the emergency contact cannot be reached in an emergency during this activity, I hereby give my permission to the physician or dentist selected by the activity leader to hospitalize, to secure medical treatment and/or order an injection, anesthesia, or surgery as deemed necessary. I understand that my insurance coverage will be used as primary coverage in the event medical intervention is needed. Coverage by Damascus Community Church through its accident policy will be used as a backup for what my insurance does not cover. I understand all reasonable safety precautions will be taken at all times by Damascus Community Church and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Damascus Community Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by my participation in and transporatation to and from this activity.
*By entering my name in the box above, I am providing my digital signature for this field.
I grant to Damascus Community Church, its representatives and employees the right to take photographs of me and property in connection with this activity. I agree that Damascus Community Church may use such photographs with or without my name and for any lawful purpose, including for example such purposes as publicity, bulletin boards, and Web content. I have read and understand the above:
*By entering my name in the box above, I am providing my digital signature for this field.
