In consideration of your accepting me or my child/children for participation in the 2019 VBS program(s), including any activity(ies), or sport(s), I hereby, for myself, my heirs, executors, and administrator, waive and release any and all rights and claims for damages that I may have against West Jacksonville Baptist Church and its pastor, pastoral staff, deacons, agents, employees, representatives, successors, and assigns for any and all injuries suffered by myself or my child/children that arise out of the above named program(s), activity(ies), or sport(s) sponsored by the church.
I further agree and authorize any pastoral staff, deacons, agents, employees, representatives, successors or one assigned by West Jacksonville Baptist Church to seek medical treatment deemed necessary for any accident or illness that results from the above named program, activity, or sport sponsored by the church for the above named participant. I warrant that I have the right to authorize the forgoing and hereby agree to hold the church or its representatives harmless of and from any liability of whatever nature which may arise out of or result from such participation.
In the event of an emergency wherein medical attention is needed for one of my children, I further authorize any representative assigned by West Jacksonville Baptist Church to transport, if needed, my remaining children to any such location as deemed necessary to facilitate meeting the designated contact for my family. I further warrant that I have the right to authorize the forgoing and hereby agree to hold the church or its representatives harmless of and from any liability of whatever nature which may arise out of or result from such participation.
For the consideration stated above, I further agree that in the event that my child/children or I should make any claim against the church for damages arising out of the above named program, activity, or sport, I will personally indemnify, defend, and hold harmless the church, pastor, pastoral staff, deacons, agents, employees, representatives, successors, and assigns against any and all loss and damage occasioned thereby, including attorney’s fees.
I also understand and give permission for the use of photography/filming of any participant for any lawful purpose associated with this VBS program.
I have read and understand this agreement and have willingly checked the required box above as evidence and as binding as my signature of my acceptance of all of the conditions contained herein.