TOBC Student Ministry Liability Form
In consideration for being permitted to participate in the ministry activities being held for Thousand Oaks Bible Church Student Ministry Activities and Events on and off the church campus (herein referred to as the “Ministry Events”) and any activities conducted during early arrivals and extended departures, the undersigned (herein referred to as the “Participant”), agrees as follows:
ASSUMPTION OF RISK AND REPRESENTATION. The Participant understands, is aware of, and assumes all risks inherent in participating in swimming and other hazardous activities. These risks include, but are not limited to, active & competitive games, skating, and swimming. Other activities may include bus travel, sporting events, and lodging. Such activities may result in serious bodily injury or death. The Participant represents that he/she possesses the necessary skills and fitness to participate in these activities safely and without supervision.
RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE. The Participant and/or his or her personal representatives, assignee's, insurer, heirs, executors, administrators, spouse and next of kin, hereby releases, waives, discharges and covenants not to sue Thousand Oaks Bible 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, while the Participant is
participating in the ministry events and any other activities in connection therewith.
INDEMNITY. The Participant agrees to indemnify Church from any and all demands, claims, suits, actions, judgments, expenses and attorneys fees incurred in any legal proceedings brought by or on behalf of the Participant arising from the participation by the Participant in the Ministry Events whether caused by the negligence of Church, or otherwise. The Participant also agrees to indemnify Church from any and all demands, claims, suits, actions, judgments, and expenses and attorneys fees incurred in any legal proceedings brought by third parties arising from the actions of Participant in the Ministry Events. The Participant assumes full and all responsibility for any risk of bodily injury, death or property damage incurred by Participant while participating in the ministry events.
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.
PHOTOGRAPHY PERMISSION. I grant to Thousand Oaks Bible Church and its representatives and employees the right to take photographs of my son/daughter in connection with the above identified event. I authorize Thousand Oaks Bible Church and its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree Thousand Oaks Bible Church may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
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.
I hereby give permission to medical personnel selected by the participant’s Church sponsor/his designee or camp staff to order X-rays, routine tests, and treatment for my participant. In the event of an emergency and neither my primary contact nor secondary can be reached, I hereby give permission to the physician selected by the Authorized Agent to hospitalize, secure proper treatment, order injections and/or anesthesia and/or surgery to myself as named above.
I further authorize the release of the below medical information to appropriate medical personnel and/or the health coverage insurance company. In addition, I have, and do hereby, release the church, its employees or agents from liability associated with participation in a church activity. I understand that if I do not have medical insurance, I, as the parent or guardian, will be responsible for any medical expenses in the event of a sickness and/or injury. I understand that there are risks involved in taking place in recreation activities and other activities related to participation in youth functions. Furthermore, I have carefully read this agreement and I understand that I assume all risks inherent in the ministry events set forth in this agreement. I understand that this agreement is a release of all claims, including negligence of the church. I understand that I am indemnifying Thousand Oaks Bible Church.
I certify that I am either 1) 18 years old or 2) the legal guardian acting on behalf of the participant who is under the age of 18 years old. I voluntarily sign my name evidencing my understanding and acceptance of the provisions of this agreement.