Event and Outreach Waiver 2025 [ADD EVENT DATE HERE]Participant Name(Required) First Last PhoneEmail I am/ or my student is 18 years or older.(Required) Yes No Parent/ Legal Guardian Name(Required) First Last Parent/ Legal Guardian Phone(Required)Parent/ Legal Guardian Email(Required) Consent for Minor Event and Outreach Waiver(Required) By checking this box I agree to the terms set forth in the Waiver below and confirms that I have read this information, understand it, and agree to be bound by it, and that my signed name below constitutes my legal digital signature.WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT FOR MINISTRY EVENTS AND OTHER CHURCH RELATED ACTIVITIES SINGLE EVENT WAIVER This Waiver, Release, and Indemnification Agreement (the “Agreement”) is a legally binding agreement. Please read carefully before signing. Your participation in the Church’s programs and activities is conditioned upon acceptance of the terms and conditions of this Agreement. By signing below, you acknowledge that you have read this Agreement, understood, and agreed to the terms and conditions of the Agreement. I. PARTIES This Agreement is entered into between Christ Fellowship Church (the “Church”), including its officers, directors, employees, volunteers, agents, sponsors, affiliates, and all persons or entities acting on its behalf (collectively, the “Released Parties”) and an individual of or over the age of eighteen (18), or the parent(s)/guardian(s) on the behalf of a minor (collectively, the “undersigned’) II. SCOPE For the purposes of this agreement, the activities covered include all Church-sponsored events, outreach programs, overnight camps, retreats and associated activities (collectively, the “Activities”). The Agreement applies to participation in any and all Activities organized by the Church whether conducted on Church property or at an offsite location. Activities may include but are not limited to: overnight camps, retreats, recreational programs, mission trips, transportation to and from events whether provided by the Church or by individuals, and all other activities organized for the purposes of engagement, outreach and growth whether held on church property or off church property. This Agreement shall remain in effect for the duration of the below listed event for which this Agreement is signed. A new Agreement must be signed for participation in other, separate Activities hosted by the Church. III. ACKNOWLEDGEMENT AND ASSUMPTION OF RISK The undersigned acknowledges and understands that participation in the Activities involve inherent risks, including but not limited to: physical injuries, illness, accidents during recreational or overnight stays, transportation-related risks, unforeseen conditions on property or at facilities where activities are being held, emotional risks, risks of medical complications, and other emergencies. The undersigned acknowledges that while the Church will make reasonable efforts to provide a safe environment, some risks are unavoidable. By signing this Agreement, the undersigned voluntarily assumes all such risks and agrees that participation is entirely voluntary. I. RELEASE, WAIVER OF LIABILITY, AND INDEMNIFICATION The undersigned fully release and discharge the Released Parties from any and all liability, claims, demands, caused of action, damages, and expenses (including attorney’s fees) arising from or relating to participation in the activities. This release includes, but is not limited to: injuries, property damage, loss sustained during activities, emotional stressors in relation to participation, and incidental or consequential damages resulting from participation. The undersigned agrees to defend, indemnify, and hold harmless the Released Parties from any claims, causes of action, liabilities, or costs arising from: special, incidental or consequential damages, injury or loss caused by undersigned’s participation in the activities to others, breach of representations or obligations under this Agreement, and claims made by the undersigned or their estate against the Released Parties. I. MEDICAL CONSENT AND EMERGENCIES The undersigned hereby consents to the provision of first aid or emergency medical treatment in the event of illness or injury during the activities. In the event of an emergency which render the undersigned unable to make medical decisions and when the emergency contact cannot be contacted, the undersigned authorizes a representative of the Church to consent to medical care on their behalf. The undersigned authorizes Church representatives to act as the their “personal representative” and to be treated as the emergency contact would for all purposes of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and shall (1) have access to all of the undersigned’s “individually identifiable health information,” including any “protected health information,” (2) possess, without limitation, the right of access to inspect and obtain a copy of protected health information about the undersigned and (3) possess, without limitation, the right to an accounting of disclosures of protected health information. This authority hereby granted applies to any information governed by HIPAA. This grant of authority is limited to the time until the undersigned is able to make medical decisions independently or the emergency contact can be contacted, at which point the Church representative shall cease to be the undersigned’s personal representative. It is understood that this authorization is given in advance of any special diagnosis, treatment, or hospital care being required, but it is given to provide authority and power on the part of the supervisor/church representative in the exercise of best judgment for the undersigned’s care, upon advice by physician or other medical professional. The Church does not assume financial responsibility for medical treatment or related costs. The undersigned is encouraged to ensure access to adequate health insurance. If covered by health insurance, the undersigned agrees to provide insurance card and information in advance, should it ever be needed. I. PARTICIPANT CONDUCT The undersigned acknowledges that they are required to adhere to all rules, regulations, and codes of behavior set forth by the Church. These rules are, but not limited to: respect for other participants, staff, and property, compliance with safety instructions and guidelines, and prohibition of unsafe or inappropriate behavior. Any violation of such rules may result in disciplinary action, including removal from the Activity at the discretion of the Church. II. PHOTOS, VIDEOS, MOTION PICTURES, AND RECORDINGS The undersigned grants full permission to the Church to use any photos, videos, motion pictures, recordings, and any other records or documents of the Activities. No notice is required to be given and the undersigned will not be compensated for use of the photo for any purpose. III. COST AND EXPENSES The undersigned assumes full responsibility for payment of the published and announced cost of the Activities and agrees to pay that specified amount or any outstanding balance upon request by the Church. The undersigned assumes responsibility for any additional costs and expenses incurred during the Activities, including but not limited to: costs associated with medical care and other emergencies. IV. GOVERNING LAW This Agreement shall be governed by and constructed in accordance with the laws of the State of Tennessee. Any dispute arising from or related to this Agreement or the Activities shall be exclusively handled by the courts located in Tennessee. V. ACKNOWLEDGEMENT AND SIGNATURE By signing below, the undersigned certifies that they are the individual to participate in the Activities or they are a parent/guardian of the participant. The undersigned acknowledges that they have carefully read, understand this Agreement, and agree to its terms and conditions voluntarily and without reservation. The undersigned attest that the participant is physically and mentally capable of participating in the Activities outlined in this Agreement.Parent / Legal Guardian Signature(Required)Consent for Adult- Event and Outreach Waiver(Required) By checking this box I agree to the terms set forth in the Waiver below and confirms that I have read this information, understand it, and agree to be bound by it, and that my signed name below constitutes my legal digital signature.WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT FOR MINISTRY EVENTS AND OTHER CHURCH RELATED ACTIVITIES SINGLE EVENT WAIVER This Waiver, Release, and Indemnification Agreement (the “Agreement”) is a legally binding agreement. Please read carefully before signing. Your participation in the Church’s programs and activities is conditioned upon acceptance of the terms and conditions of this Agreement. By signing below, you acknowledge that you have read this Agreement, understood, and agreed to the terms and conditions of the Agreement. I. PARTIES This Agreement is entered into between Christ Fellowship Church (the “Church”), including its officers, directors, employees, volunteers, agents, sponsors, affiliates, and all persons or entities acting on its behalf (collectively, the “Released Parties”) and an individual of or over the age of eighteen (18), or the parent(s)/guardian(s) on the behalf of a minor (collectively, the “undersigned’) II. SCOPE For the purposes of this agreement, the activities covered include all Church-sponsored events, outreach programs, overnight camps, retreats and associated activities (collectively, the “Activities”). The Agreement applies to participation in any and all Activities organized by the Church whether conducted on Church property or at an offsite location. Activities may include but are not limited to: overnight camps, retreats, recreational programs, mission trips, transportation to and from events whether provided by the Church or by individuals, and all other activities organized for the purposes of engagement, outreach and growth whether held on church property or off church property. This Agreement shall remain in effect for the duration of the below listed event for which this Agreement is signed. A new Agreement must be signed for participation in other, separate Activities hosted by the Church. III. ACKNOWLEDGEMENT AND ASSUMPTION OF RISK The undersigned acknowledges and understands that participation in the Activities involve inherent risks, including but not limited to: physical injuries, illness, accidents during recreational or overnight stays, transportation-related risks, unforeseen conditions on property or at facilities where activities are being held, emotional risks, risks of medical complications, and other emergencies. The undersigned acknowledges that while the Church will make reasonable efforts to provide a safe environment, some risks are unavoidable. By signing this Agreement, the undersigned voluntarily assumes all such risks and agrees that participation is entirely voluntary. I. RELEASE, WAIVER OF LIABILITY, AND INDEMNIFICATION The undersigned fully release and discharge the Released Parties from any and all liability, claims, demands, caused of action, damages, and expenses (including attorney’s fees) arising from or relating to participation in the activities. This release includes, but is not limited to: injuries, property damage, loss sustained during activities, emotional stressors in relation to participation, and incidental or consequential damages resulting from participation. The undersigned agrees to defend, indemnify, and hold harmless the Released Parties from any claims, causes of action, liabilities, or costs arising from: special, incidental or consequential damages, injury or loss caused by undersigned’s participation in the activities to others, breach of representations or obligations under this Agreement, and claims made by the undersigned or their estate against the Released Parties. I. MEDICAL CONSENT AND EMERGENCIES The undersigned hereby consents to the provision of first aid or emergency medical treatment in the event of illness or injury during the activities. In the event of an emergency which render the undersigned unable to make medical decisions and when the emergency contact cannot be contacted, the undersigned authorizes a representative of the Church to consent to medical care on their behalf. The undersigned authorizes Church representatives to act as the their “personal representative” and to be treated as the emergency contact would for all purposes of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and shall (1) have access to all of the undersigned’s “individually identifiable health information,” including any “protected health information,” (2) possess, without limitation, the right of access to inspect and obtain a copy of protected health information about the undersigned and (3) possess, without limitation, the right to an accounting of disclosures of protected health information. This authority hereby granted applies to any information governed by HIPAA. This grant of authority is limited to the time until the undersigned is able to make medical decisions independently or the emergency contact can be contacted, at which point the Church representative shall cease to be the undersigned’s personal representative. It is understood that this authorization is given in advance of any special diagnosis, treatment, or hospital care being required, but it is given to provide authority and power on the part of the supervisor/church representative in the exercise of best judgment for the undersigned’s care, upon advice by physician or other medical professional. The Church does not assume financial responsibility for medical treatment or related costs. The undersigned is encouraged to ensure access to adequate health insurance. If covered by health insurance, the undersigned agrees to provide insurance card and information in advance, should it ever be needed. I. PARTICIPANT CONDUCT The undersigned acknowledges that they are required to adhere to all rules, regulations, and codes of behavior set forth by the Church. These rules are, but not limited to: respect for other participants, staff, and property, compliance with safety instructions and guidelines, and prohibition of unsafe or inappropriate behavior. Any violation of such rules may result in disciplinary action, including removal from the Activity at the discretion of the Church. II. PHOTOS, VIDEOS, MOTION PICTURES, AND RECORDINGS The undersigned grants full permission to the Church to use any photos, videos, motion pictures, recordings, and any other records or documents of the Activities. No notice is required to be given and the undersigned will not be compensated for use of the photo for any purpose. III. COST AND EXPENSES The undersigned assumes full responsibility for payment of the published and announced cost of the Activities and agrees to pay that specified amount or any outstanding balance upon request by the Church. The undersigned assumes responsibility for any additional costs and expenses incurred during the Activities, including but not limited to: costs associated with medical care and other emergencies. IV. GOVERNING LAW This Agreement shall be governed by and constructed in accordance with the laws of the State of Tennessee. Any dispute arising from or related to this Agreement or the Activities shall be exclusively handled by the courts located in Tennessee. V. ACKNOWLEDGEMENT AND SIGNATURE By signing below, the undersigned certifies that they are the individual to participate in the Activities or they are a parent/guardian of the participant. The undersigned acknowledges that they have carefully read, understand this Agreement, and agree to its terms and conditions voluntarily and without reservation. The undersigned attest that the participant is physically and mentally capable of participating in the Activities outlined in this Agreement.Signature (must be signed by person attending)(Required)EMERGENCY CONTACT INFORMATION:PRIMARY CONTACT: Name First Last PhoneRelationshipSECONDARY CONTACT: Name First Last PhoneRelationshipCAPTCHA
