Hold harmless, medical authorization and media release agreement

The above-named participant desires to participate in the above activity operated or sponsored by The Chapel. The participant or his or her parent or guardian, as the case may be, understands and acknowledges that the participant may sustain or incur bodily injury or property damage while participating in the activity and that The Chapel will not allow the participant to participate in the activity without releasing The Chapel and holding The Chapel harmless from any such injury or damage.

The participant or his or her parent or guardian, as the case may be, request The Chapel allow the participant to participate in the activity and in consideration there of agrees to assume all risk of, and to release, discharge and hold the chapel and its elders, officers, staff, employees, agents and volunteers harmless from, all actions, proceedings, claims, losses, Costs, expenses or damages of any kind, however caused, arising out of or related to the activity, regardless of (a) where the activity is located (b) where the injury or damage occurred or whether the injury or damage was anticipated or unanticipated. A participant or his or her parent or guardian, as the case may be, further acknowledges that this is a full and complete release from all injuries and damages which the participant may sustain as a result of the participants participation in the activity. This release and hold harmless and medical authorization agreement, shall be binding on all heirs, successors and assignments of the participant and/or his or her parent or guardian, as the case may be. If the participant is a minor, the undersigned parent or guardian does further hereby authorize The Chapel to give permission for the treatment of the participant buy any qualified and licensed medical personnel in the event of medical emergency which, in the opinion of such attending licensed medical personnel, may endanger the participants life or cause disfigurement, physical impairment or undo discomfort if delayed, while said participant is participating in the activity. This authority is granted with the express understanding that The Chapel shall make a reasonable attempt to contact me before granting such permission for such treatment.

I give permission for photographs or video in which my child appears to be used for publication and public relations activities at the chapel. This may include use in print and electronic media, social media including the Internet.

Vechicle Ride Consent Form

I hereby give my permission for the child listed above to ride The Chapel vehicle to attend the event. I understand that my children will be under adult supervision and driven by a Staff member. I further understand that in signing this permission slip, I release and hold harmless The Chapel. By signing this permission slip, I release and hold harmless its trustees, officers, employees and any volunteers from any liability, past or future, fully and completely. I authorize the staff or designated medical professionals and/or volunteers to administer emergency medical assistance if I cannot be reached.

WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

In consideration for BEING ON PREMISES at The Chapel, I, on behalf of myself and any minor child/ children for whom I have the capacity to contract, hereby acknowledge and agree to the following:

I shall indemnify, defend, and hold harmless The Chapel from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs, and disbursements, whether of in-house or outside counsel, and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, the infection of any illness or injury.
It is my express intent that this Waiver and Hold Harmless Agreement shall bind any assigns and representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above-named The Chapel companies. This Agreement and the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of Illinois.
I HEREBY KNOWINGLY AND VOLUNTARILY WAIVE ANY RIGHT TO A JURY TRIAL OF ANY DISPUTE ARISING IN CONNECTION WITH THIS AGREEMENT. I ACKNOWLEDGE THAT THIS WAIVER WAS EXPRESSLY NEGOTIATED AND IS A MATERIAL INDUCEMENT THE PERMISSION GRANTED BY RELEASEES TO BE ON PREMISES AND PARTICIPATE IN THE ACTIVITIES.

IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it, and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate, and complete consideration, fully intending to be bound by same.

I am the parent and natural or legal guardian of the student registering. I have read and excepted the terms present in the hold harmless, covid hold harmless, medical authorization and media release agreement above.

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