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STUDENT MINISTRY Participation Waiver, Assumption of Risk and Voluntary Release
1
Student's Name
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Participant's Full Name
First Name
Last Name
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2
Parent/Guardian Email
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example@example.com
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3
Parent/Guardian Phone Number
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4
Grade (Completed)
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5
T-Shirt Size
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Adult Sizes Only
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6
Date of Birth of Student
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If you are under the age of 18, please have the parent or legal guardian complete this form.
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Date
Year
Month
Day
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7
In consideration for being permitted to participate in Horizon Student Camp activities being held from June 11-15, 2024, at the Horizon Camps campus and lodging in Brownwood, TX, to include: transportation to events, attending worship service, games, etc. and any activities conducted during early arrivals and extended departures. The parent or guardian if under 18 years of age and/or the undersigned, (herein referred to as the “Participant”), agrees as follows:
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YES
NO
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8
RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE. The Participant and/or his or her personal representatives, assignees, insurer, heirs, executors, administrators, spouse and next of kin, hereby releases, waives, discharges and covenants not to sue Trinity Baptist Church, a Texas nonprofit corporation (herein referred to as “Church”) and its directors, officers, employees, agents, volunteers as well as its successors, assigns, affiliates, subordinates, and subsidiaries; and releases, waives and/or discharges all of the above from any and all liability to its assigns, insurers, heirs, executors, administrators, spouses and next of kin for any and all loss, damage, or cost on account of injury to the Participant or his or her property, whether caused by negligence, or otherwise, while the Participant is participating in the ministry event and any other activities in connection therewith.
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9
INDEMNITY. The Participant agrees to indemnify Church from any liability, loss, damage or cost that may incur due to the participation by the Participant in the Ministry Event whether caused by the negligence of Church, or otherwise. The Participant assumes full responsibility for and risk of bodily injury, death or property damage due to the negligence of other participants in the ministry event, or otherwise, while participating in the ministry event.
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10
MANDATORY ARBITRATION. The parties agree that any claim or dispute arising from or related to this Agreement shall be settled by biblically based mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation, a division of Peacemaker® Ministries (complete text of the Rules is available at www.HisPeace.org). Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction. The parties understand that these methods shall be the sole remedy for any controversy or claim arising out of this Agreement and expressly waive their right to file a lawsuit in any civil court against one another for such disputes, except to enforce an arbitration decision.
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11
The Participant expressly agrees that this Assumption of Risk, Voluntary Release, and Indemnity Agreement (herein referred to as the “Agreement”), is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that, if any portion of this Agreement is held invalid, it is agreed that the balance, notwithstanding, shall continue in full legal force and effect.
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12
I HAVE CAREFULLY READ THIS AGREEMENT. I UNDERSTAND THAT I ASSUME ALL RISKS INHERENT IN THE MINISTRY EVENT SET FORTH IN THIS AGREEMENT. I UNDERSTAND THAT THIS AGREEMENT IS A RELEASE OF ALL CLAIMS, INCLUDING THE NEGLIGENCE OF THE CHURCH. I UNDERSTAND THAT I AM INDEMNIFYING THE CHURCH. I CERTIFY THAT I AM EITHER AT LEAST THE AGE OF 18 OR THE LEGAL GUARDIAN ACTING ON BEHALF OF THE PARTICIPANT WHO IS UNDER THE AGE OF 18. I VOLUNTARILY SIGN MY NAME EVIDENCING MY UNDERSTANDING AND ACCEPTANCE OF THE PROVISIONS OF THIS AGREEMENT
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13
Name of Person Signing Release
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First Name
Last Name
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14
Relationship to Student
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Self (Over the age of 18)
Legal Guardian
Parent
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15
Do You Require a Scholarship?
Please Select Scholarship at Checkout and Student Ministry Personnel will Contact You
YES
NO
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16
Camp Registration Fee
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ORDER SUMMARY
Total cost
USD
Horizon Student Camp
$
250.00
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Horizon Student Camp - Scholarship
Please select if your Student requires a scholarship.
$
Free
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