As a condition of, Heritage Christian Fellowship (HCF), consent to the undersigned of the above described activity, the undersigned agrees to indemnify, defend and hold harmless HCF, its representatives, officers, agents, and employees from all liability, claims, rights or actions for injury, loss or damages including, without limitation, claims for personal injury, sickness, disease, death, property loss or damage, or any other loss of any kind whatsoever, arising out of or in connection with the described activity or while being transported to or from said activity in the vehicle owned and operated by HCF, if such injury, loss, or damages is caused whole or in part, or is claimed to be caused in whole or part, by the act or omission of the undersigned.
The undersigned understands and acknowledges that by signing below that the described activity may involve risks of injury, loss or damage to the undersigned, including without limitation, personal injury, sickness, disease, death and property loss or damage. The undersigned’s signature below shall constitute the express and irrevocable assumption of any and all such risks. The undersigned forever waives, releases and relinquishes and claims, rights or actions against HCF, its representatives, officers, agents, and employees for liability in connection with an injury, sickness, disease, death, or property loss or damage arising out of or in connection with the described activity or while being transported to or from said activity in the vehicle owned and operated by HCF, whether such liability arises out of intentional, reckless, negligent or any other act or omission.
I understand that the church has a one week cancellation policy. I know that it is my responsibility to notify the church one week before the start date of the trip/activity to cancel and receive a full refund.
I grant Heritage Christian Fellowship permission to use my likeness, voice, and words in television, radio, film, on the church’s printed materials, website or Facebook page.
I understand that there are risks/dangers involved with participation in off-campus trips and their associated activities. In the event that a serious accident or illness befalls me, I request that Heritage Christian Fellowship make every effort to contact my emergency contact designee via phone. If my emergency contact designee cannot be located, Heritage Christian Fellowship is authorized to:1. Contact my named physician and follow their instructions.2. Transport me to a hospital for treatment by an on-duty emergency room physician.3. The undersigned hereby authorizes the named physician to give consent for any procedure or hospital care deemed advisable by said physician. In the event that the physician is not available, Heritage Christian Fellowship’s leadership is authorized to give necessary consent for any treatment, care, diagnosis, and/or examination of the person named.
By submitting this form, I agree to hold harmless Heritage Christian Fellowship; its employees, agents, and representatives, including volunteers, and other drivers, from any and all claims arising from my participation.