From a2adfea98dbb6673b04a19f406fc6df2b0b83a77 Mon Sep 17 00:00:00 2001 From: Riley Harper <122546380+rmharp@users.noreply.github.com> Date: Tue, 12 Sep 2023 10:22:19 -0400 Subject: [PATCH] Waiver --- CT_Wavier_23-24.html | 22 ++++++++++++++++++++++ 1 file changed, 22 insertions(+) create mode 100644 CT_Wavier_23-24.html diff --git a/CT_Wavier_23-24.html b/CT_Wavier_23-24.html new file mode 100644 index 0000000..7995883 --- /dev/null +++ b/CT_Wavier_23-24.html @@ -0,0 +1,22 @@ + +
Chapel Thrill Escapes Participant Accident, Risk, and Release of Liability Wavier
Please read completely and fill out accurately. Return to staff member when complete.
Parent/Guardian/Participant (if over 18): First Name | Last Name | Date of Birth (DOB) | ||
Street Address | Apt. # | City | State | ZIP |
Cell Phone Number | Mark box if you would like to receive free promotions, offers, and marketing materials via email or text message. | Email Address | ||
In consideration of my participation in the services of Chapel Thrill Escapes, 501(c)-3, their agents, owners, officers, affiliates, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “CT”), I hereby agree to release, indemnify, and discharge CT, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative, and estate as follows:
By signing this agreement, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against CT on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have without pressure read and understood it, and I agree to be bound by its terms. I further grant CT the right to photograph, videotape, and/or record me and/or my child/ward and to use my or my child’s/wards’ name, face, likeness, voice, and appearance in connection with exhibitions, publicity, advertisements and promotional materials without reservation or limitation. Participant Signature (if 18 or older): Date: | ||||
PARENT’S OR LEGAL GAURDIAN’S ADDITIONAL INDEMNIFICATION (Must be completed for participants under the age of 18) In consideration of (print up to three minor’s names/birthdates below of SAME parent or legal guardian): | ||||
Participant 1: First Name | Last Name | DOB | ||
Participant 2: First Name | Last Name | DOB | ||
Participant 3: First Name | Last Name | DOB | ||
(“Minor”) being permitted by CT to participate in its activities, I further agree to indemnify and hold harmless CT from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor. I further certify that I am the parent or legal guardian of the minor on this agreement. Parent or Guardian’s Signature: Print Name: Date: |