WAIVER, ASSUMPTION OF RISK, RELEASE, INDEMNIFICATION, AND CONSENT AGREEMENT (“RELEASE”)
I am a parent or legal guardian of the Minor named above who is under eighteen years of age (“Minor”), and I am fully competent to sign this Release. I certify that Minor is in good health, has no mental or physical conditions that would prevent his or her participation in the encampment and/or its recreation activities, and has no condition that requires the taking of medication on a regular basis, except as fully and expressly indicated above. In consideration of Minor being permitted to participate in all First Christian Church of Tillamook activities and to use the facilities and equipment at the Church, I, on behalf of myself, Minor, and Minor’s representatives, executors, heirs, next of kin, administrators, beneficiaries, successors and assigns (collectively, the “Minor’s Representatives”), hereby agree to be bound by this Release. I understand that such participation or use entails certain inherent risks to Minor, and I, on behalf of Minor’s Representatives, voluntarily accept all risk to Minor’s health that may result from such participation or use. Therefore, I, on behalf of Minor’s Representatives, hereby agree that First Christian Church of Tillamook, its respective directors, officers, employees, agents, representatives, related and/or affiliated entities, successors and assigns (hereinafter, “Released Parties”) SHALL NOT BE LIABLE FOR ANY DAMAGES arising from (a) the DISCLOSURE OF MEDICAL INFORMATION contained in this form (if believed necessary by the Released Parties), and/or (b) PERSONAL INJURIES (INCLUDING DEATH), DAMAGE TO OR LOSS OF PROPERTY OR OTHER HARM, whether foreseen or unforeseen, present or future, known or unknown, that Minor may sustain in any way which directly or indirectly results from or arises from Minor’s attendance or participation in the Church activities. Furthermore, I, on behalf of Minor’s Representatives, agree to INDEMNIFY, DEFEND, AND HOLD HARMLESS the Released Parties from and against any and all claims, foreseen or unforeseen, present or future, known or unknown, that Minor’s Representatives may have or assert, even if caused in whole or in part by the NEGLIGENCE, FAULT, BREACH OF CONTRACT, STRICT LIABILITY, OR OTHER ACT, CONDUCT OR STATUS of any of the Released Parties. This indemnification includes all costs of defending such claims, including attorneys’ fees, costs, and expenses, whether suit is filed or not.
I further authorize emergency medical treatment to be performed by Camp medical staff and/or attending physicians at a local clinic or hospital to my child in my absence.
This Release contains the entire agreement between the parties, and may be amended only in writing signed by the undersigned and the Released Parties’ representative(s), or their successors. It is not intended to release the Released Parties from any conditions or activity that, as a matter of law, cannot be avoided, waived or released and no provision hereof should be so interpreted. It is governed by the internal laws of Oregon (even if applicable conflict of law rules would provide otherwise). Its terms are severable. It shall not be strictly construed against any party.
I also give First Christian Church permission to use, reprint, and produce any photographs or videos taken of my child during his/her participation in church activities. I understand that these images will remain anonymous and be used for ministry purposes only.
I HAVE READ AND UNDERSTAND THIS RELEASE AND ACCEPT AND AGREE TO ITS TERMS AND SIGN IT VOLUNTARILY.