Please provide name of insurance and number if applicable (if you do not have insurance please put NA)
RELEASE OF LIABILITY
READ CAREFULLY - THIS AFFECTS YOUR LEGAL RIGHTS
In exchange for participation in the activity of The Great Jungle Journey at Slavic Gospel Church Federal Way organized by Slavic Gospel Church, of 3405 S 336th St, Federal Way, Washington, 98001 and/or use of the property, facilities and services of Slavic Gospel Church, I agree for myself and (if applicable) for the members of my family, to the following:
1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Slavic Gospel Church, or the employees, representatives or agents of Slavic Gospel Church.
2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Slavic Gospel Church for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of Slavic Gospel Church, whether caused by the fault of myself, my family, Slavic Gospel Church or other third parties.
3. INDEMNIFICATION. I agree to indemnify and defend Slavic Gospel Church against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Slavic Gospel Church.
4. FEES. I agree to pay for all damages to the facilities of Slavic Gospel Church caused by any negligent, reckless, or willful actions by me or my family.
5. CONSENT. I, the parent/legal guardian, consent to the participation of my child (listed above) in the activity of The Great Jungle Journey at Slavic Gospel Church, and agree on behalf of the above minor to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of my child (listed above).
6. MEDICAL AUTHORIZATION. In the event of an injury to the above minor during the above described activities, I give my permission to Slavic Gospel Church or to the employees, representatives or agents of Slavic Gospel Church to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on June 26th, 2024 and will remain in effect until terminated in writing by the undersigned or June 28th, 2024, whichever occurs first. Slavic Gospel Church shall have the following powers:
a. The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital.
b. The power to authorize medical treatment or medical procedures in an emergency situation; and
c. The power to make appropriate decisions regarding clothing, bodily nourishment and shelter.
7. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under Washington law.
8. NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Slavic Gospel Church has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.
9. ARM'S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.
10. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.
11. DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure.
Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation is not successful in resolving the entire dispute or is unavailable, any outstanding issues will be submitted to final and binding arbitration under the rules of the American Arbitration Association. The arbitrator's award will be final, and judgment may be entered upon it by any court having proper jurisdiction.
I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS. Release of Liability
I, the legal parent/guardian of the child listed above, hereby authorize and consent to the use of images or videos of my child/children listed above, with or without their name(s), by Slavic Gospel Church of Federal Way, Washington for purposes including but not limited to: promotional materials, printed publications, internet posts including social media, television, and other media sources.
I do this with full knowledge and consent and waive all claims for compensation for use or for damages. I release Slavic Gospel Church, its officers, trustees, employees, and agents from liability for any claims by me or any third party in connection with the use of the image of my child/children listed above.
Please indicate if you would like your child to be in a group with a specific friend of family member, please understand they do have to be in the same age group in order for this to be an option.
Your link for payment with card will be available in your confirmation email.