RELEASE, WAIVER & INDEMNITY AGREEMENT 2019-2020
I understand and agree to release, waive, indemnify and hold harmless Mt. Calvary Lutheran Church and School (the “Church”), and its directors, officers, employees, agents and representatives, with respect to any claims, costs, damages, losses, injuries, causes of action or liability based on or arising out of the participation of the above-named child (the “Child”) in the above described activity (the “Activity”).  This release, waiver and indemnity includes the Participant and the Participant’s parents, guardians, heirs, successors, assigns and estate.
 
I also authorize the duly authorized agents and representatives of the Church to render or obtain such emergency medical care or treatment as may be necessary for the Participant should any injury, harm or accident occur to the Child while participating in the Activity.  I/We understand that there are risks associated with any medical procedure and, knowing these risks, I/we agree to assume the risks.
 
I further state and acknowledge that I/we are authorized to sign this Agreement, that I understand the terms herein are contractual and not a mere recital, that I/we have signed this document of my/our free act and volition, having read it carefully before signing it.  A copy of this Waiver & Release is as valid as an original.
 
I acknowledge that participation in the event/s, activity/ies described herein also constitutes approval to be photographed and to have those photographs placed in church related publications, including the Church website.

By selecting "yes" from the dropdown menu and typing my/our name below, I/we have executed this affirmation and release. I/we declare that the name below is my/our own and by typing it into the form, I/we am officially signing this form. I/we, the undersigned am/are responsible for decisions for the Child and am/are authorized to consent to services to be rendered, and no other consent is required by law.