Garden Valley Bible Church
Garden Valley, Texas
Participant Agreement, Assumption of Risk, and Release
& Standard Photo and Video Release Form for myself and Minor Children
effective for Vacation Bible School, July 27-31, 2020
WHEREAS, the undersigned wishes to voluntarily participate in any activity conducted by Garden Valley Bible Church (GVBC):
The undersigned acknowledges that during the activities in which the participant voluntarily wishes to participate, that certain risks and dangers may occur. These include, but are not limited to the hazards of depending on other people, accident or illness in a rural location without medical facilities on site, and the forces of nature. The undersigned further recognizes that these risks may also include loss or damage to personal property, physical or psychological damage and injury not excluding fatality due to other types of outdoor activities. I further understand that by participating in the activities in which I am requesting my child to participate, my child may be exposed to the elements of nature, including temperature extremes, inclement weather, insects, plants, and animals.
In consideration of the right to participate in such a program and the services arranged for me by GVBC, its Directors, Officers, Employees, Agents, and/or Associates, I have and do hereby assume all of the above risks and any other ordinary risk incidental to the nature of the program, including risks which are not specifically foreseeable; and will hold GVBC and its Agents harmless from any and all liability, actions, pauses of action, debts, claims and demands of every kind and nature whatsoever, arising from or in connection with the program or participation in any other activities arranged for my child by GVBC, its Directors, Officers, Employees, Agents, and/or Associates, and their heirs, executors, and administrators. The terms hereof, and my signature on this document shall serve as a release and assumption of risk, and shall bind my heirs, representatives, executors, and administrators, successors, and assigns. I also understand that my child’s participation in this program is entirely voluntary.
I hereby give permission to the medical personnel selected by GVBC to order X-rays, routine tests, treatment; to release any records necessary for insurance purposes, and to provide or arrange necessary related transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by GVBC to secure and administer treatment, including hospitalization, for the participant.
ALSO, I attest and agree that: I am the parent or legal guardian of the children listed on this form; GVBC may publish their/my photographs and names on their website and Facebook page; I release GVBC from any expectation of confidentiality for the named children/myself; none of those named will receive any financial compensation; participation in any web presence confers no rights of ownership; GVBC, its volunteers, contractors and employees are free from liability for any claims by me/any third party in connection with my family’s participation VBS.
The undersigned acknowledges that during the activities in which the participant voluntarily wishes to participate, that certain risks and dangers may occur. These include, but are not limited to the hazards of depending on other people, accident or illness in a rural location without medical facilities on site, and the forces of nature. The undersigned further recognizes that these risks may also include loss or damage to personal property, physical or psychological damage and injury not excluding fatality due to other types of outdoor activities. I further understand that by participating in the activities in which I am requesting my child to participate, my child may be exposed to the elements of nature, including temperature extremes, inclement weather, insects, plants, and animals.
In consideration of the right to participate in such a program and the services arranged for me by GVBC, its Directors, Officers, Employees, Agents, and/or Associates, I have and do hereby assume all of the above risks and any other ordinary risk incidental to the nature of the program, including risks which are not specifically foreseeable; and will hold GVBC and its Agents harmless from any and all liability, actions, pauses of action, debts, claims and demands of every kind and nature whatsoever, arising from or in connection with the program or participation in any other activities arranged for my child by GVBC, its Directors, Officers, Employees, Agents, and/or Associates, and their heirs, executors, and administrators. The terms hereof, and my signature on this document shall serve as a release and assumption of risk, and shall bind my heirs, representatives, executors, and administrators, successors, and assigns. I also understand that my child’s participation in this program is entirely voluntary.
I hereby give permission to the medical personnel selected by GVBC to order X-rays, routine tests, treatment; to release any records necessary for insurance purposes, and to provide or arrange necessary related transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by GVBC to secure and administer treatment, including hospitalization, for the participant.
ALSO, I attest and agree that: I am the parent or legal guardian of the children listed on this form; GVBC may publish their/my photographs and names on their website and Facebook page; I release GVBC from any expectation of confidentiality for the named children/myself; none of those named will receive any financial compensation; participation in any web presence confers no rights of ownership; GVBC, its volunteers, contractors and employees are free from liability for any claims by me/any third party in connection with my family’s participation VBS.