Rise Youth Activity

CHBC Teens: Corn Maze
October 19th, 2024 from 1:00PM-4:00PM

Waiver & Release
All participants in Carpenter’s House Baptist Church and CHBC Student Ministries must have a signed Waiver & Release Form, including adults 18 years and older. Participants under 18 must have the authorized signature of a Parent/Guardian. It must be brought to registration.

Name of Church: Carpenter’s House Baptist Church

City/State/Zip: Germantown, OH 45327

* Indicates required field

Activity *

Participants Name *

First

Last

Birthdate: *

Age: *

Sex: *

Male Female

Address: *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Name: *

First

Last

Phone Number: *

Email: *

Consideration. I acknowledge the personal benefits accruing to me (and my child, as applicable) by reason of participation in the above described event and am aware of the activities in which I, or my child, will be involved through said participation.

Release / Indemnification. I hereby, in consideration of such benefits and other good and valuable consideration received, consent to the above listed participation and release absolutely, forever discharge, hold harmless and covenant not to sue Carpenter’s House Baptist Church and CHBC Student Ministry, its directors, employees, agents, volunteers, and affiliates from any and all present or future liability, claims, demands, actions or rights of action, whether asserted by me or a third party arising out of my (or my child's) participation in event activities (the "Claims"). I agree to indemnify and hold harmless Carpenter’s House Baptist Church and CHBC Student Ministry for any such Claims brought by me or a third party from any costs associated with defending or litigating such claims, including but not limited to attorney fees, costs and legal expenses.

Assumption of Risk. I am aware of the risks associated with participation in the above event and do hereby voluntarily assume full responsibility for any risk of loss, property damage or personal injury, including death, that may result from participation in event activities.

Medical Emergency. In the event of injury or a medical emergency, I understand that the church’s group leader will be responsible for the medical care of all attendees. It will be the church group leader's responsibility to assess medical needs, obtain and consent to appropriate medical care, transport persons in need of medical care and contact parents or guardians of minors. In addition, I assume the risk and financial responsibility for any injury resulting from the attendee’s participation in all Carpenter’s House Baptist Church and CHBC Student Ministry events.

Understanding. I represent and acknowledge that I have completely read and understand this document and all its terms and all matters referred to herein, and I signed voluntarily as my free act and deed, that I have had an ample opportunity to obtain the advice of counsel and that, by signing this document, I understand that I am relinquishing legal rights and remedies that may have otherwise been available to me. I understand that this Waiver and Release shall be construed as broadly and inclusively as is permitted by applicable law and agree that if any portion of this document is held invalid, the remaining shall continue in full force and effect. To the extent the restriction on filing lawsuits is deemed unlawful, I agree to submit any Claims to a Christian conciliation/mediation organization for binding resolution.

Media Consent. I give my consent and permission for the taking of photographs and/or video of me (or my child) during the described event and waive and/or assign any and all rights (including copyright) in such media to Carpenter’s House Baptist Church & CHBC Student Ministries.

CAUTION: READ THIS DOCUMENT CAREFULLY BEFORE SIGNING.
THIS IS A GENERAL RELEASE AND INDEMNIFICATION OF CLAIMS

Please check, which applies: *

Parent/Guardian Attendee 18 years of age and older

Electronic Signature: *

First

Last

If you are a Parent/Guardian of an attendee who is under 18 years of age, please include the following.

Your Name: *

First

Last

Relationship to Participant: *

Contact Number: *

Submit

CHBC Teens: Corn Maze​October 19th, 2024 from 1:00PM-4:00PM

Waiver & ReleaseAll participants in Carpenter’s House Baptist Church and CHBC Student Ministries must have a signed Waiver & Release Form, including adults 18 years and older. Participants under 18 must have the authorized signature of a Parent/Guardian. It must be brought to registration.

CAUTION: READ THIS DOCUMENT CAREFULLY BEFORE SIGNING.THIS IS A GENERAL RELEASE AND INDEMNIFICATION OF CLAIMS

CHBC Teens: Corn Maze
October 19th, 2024 from 1:00PM-4:00PM

Waiver & Release
All participants in Carpenter’s House Baptist Church and CHBC Student Ministries must have a signed Waiver & Release Form, including adults 18 years and older. Participants under 18 must have the authorized signature of a Parent/Guardian. It must be brought to registration.

CAUTION: READ THIS DOCUMENT CAREFULLY BEFORE SIGNING.
THIS IS A GENERAL RELEASE AND INDEMNIFICATION OF CLAIMS