PLEASE READ THIS FORM CAREFULLY AND BE AWARE THAT YOU WILL BE WAIVING AND RELEASING ALL CLAIMS FOR INJURIES OR CONDITIONS YOU MAY SUSTAIN OR ACQUIRE WHEN PARTICIPATING IN SPORTS ACTIVITIES AT PATTERSON PARK CHURCH.
Agreement of Release and Waiver of Liability:
The undersigned, in consideration for participation in sports activities hereby agrees to the following:
1. The undersigned recognizes that sports activities require physical exertion, which may be strenuous and may cause physical injury and the undersigned is fully aware of the risks and hazards involved.
2. The undersigned understands that it is their responsibility to consult with a physician prior to and regarding participation in sports activities. The undersigned represents and warrants that the undersigned is physically fit and has no medical condition that would prevent the undersigned’s full participation in the sports activities.
3. In consideration of being permitted to participate in sports activities, the undersigned agrees to assume full responsibility for any risks, injuries or damages, known or unknown, which the undersigned might incur as a result of participation.
4. In further consideration of being permitted to participate in the sports activities, the undersigned knowingly, voluntarily and expressly waives any claim the undersigned may have against Patterson Park Church, for injuries or damages that the undersigned may sustain as a result of participating in sports activities held at Patterson Park Church, or any employee or volunteer thereof, jointly or severally.
The undersigned acknowledges that the undersigned has provided accurate and true information with regard to the registration information and acknowledges that the undersigned has read and agrees to the above release and waiver of liability, fully understands its contents, and agrees to the terms and conditions stated therein.
In the event of any emergency, the undersigned authorizes medical attention from any licensed hospital, physician and/or medical personnel, any treatment deemed necessary for immediate care and agree that the undersigned will be responsible for payment of any and all medical, hospital or emergency services rendered. It is recommended that the undersigned should review their health insurance coverage for applicability to sport activities, as the absence of health insurance coverage does not render Patterson Park Church, employees or volunteer members responsible for payment of medical, hospital, emergency, expenses or lost wages as a result of participation in sports activities.
The undersigned acknowledges that he/she has read this Waiver and Release of All Claims and Authorization and hereby agrees to be bound by the terms thereof.
By typing in the signature box, I agree to the above PPC terms.
