Risk and Liability Waiver 2019 The undersigned, being the participant named below, hereby requests that Pathfinder Church, Ellisville (the "Church"), permit the undersigned to take part in the Activity described below, which Activity is sponsored, sanctioned, organized and/or overseen by the Church. The undersigned acknowledges that there are inherent risks involved in, and other risks associated with, the Activity and that injury and/or property damage may arise from the undersigned's participation in the Activity. The undersigned acknowledges that he/she is fully aware of the risks attendant to the Activity, and the undersigned knowingly and freely assumes such risks. The undersigned acknowledges that all of his/her questions about the Activity and the associated risks have been answered in full. As an inducement for, and in consideration of, the agreement of the Church to permit the undersigned to participate in the Activity, the undersigned hereby covenants and agrees that the Church, and its employees, members, officers, directors, agents and representatives, and any other person or entity engaged by, affiliated with or assisting the Church with the Activity (collectively the "Church and its Representatives"), shall not be liable in any way, financially or legally, for any accident, injury or illness which arises out of or in connection with the Activity, including without limitation, any and all property damage, personal injury or death. The undersigned hereby fully and forever releases and discharges the Church and its Representatives from, and covenants not to sue the Church and its Representatives for or in connection with, any and all losses, demands, damages, claims, rights of action or causes of action, present or future, whether known or unknown, anticipated or unanticipated, resulting from or arising out of or in connection with the Activity, including without limitation, any and all medical expenses and other expenses arising therefrom and any and all losses, etc. which may arise during transportation to or from the location of the Activity. The undersigned agrees that, prior to participating in the Activity, he/she will inspect the facilities, equipment and surroundings involved, and if he/she believes anything is unsafe he/she will immediately advise the Church or its representative of such condition(s) and refuse to participate. This Release and Waiver shall be binding on the heirs, executors, administrators and assigns of the undersigned. The undersigned has read and fully understands this Release and Waiver.
Participant’s Name (printed)
Participant’s Signature Father’s Signature
(if under 18 yrs old)
(if under 18 yrs old)
Pathfinder Church § 15800 Manchester Road, Ellisville, MO 63011 § www.stjstl.net § 636.394.4100