Release Authorization (Page 12 of 13) in pdf

Release Authorization Page 12

Pensacola Christian College, Inc.

Rock Climbing and FlowRider® Waiver and Release Form

I understand and agree that I am assuming for myself and the Participant named below all risk of injury from

participating in rock climbing activities or surfing on the FlowRider®. I understand that: (1) injuries while

rock climbing may occur from rope entanglements, objects falling from or being dropped by other climbers, or

from contact with anchor points, bolts or equipment used in climbing; (2) injuries while using the FlowRider®

may occur by falling or being thrown by the water pressure onto a fixed surface or padded retaining wall, or by

contact with the body board; and (3) other unforeseeable injuries may occur from either activity. I hereby

waive, release, and agree not to sue Pensacola Christian College, Inc., its affiliates or subsidiaries, and any of

their officers, directors, employees, agents, students, successors or assigns for any damage, injury, cost or cause

of action arising from any participation in these activities. I voluntarily sign this waiver, release and agreement

not to sue with full knowledge of the nature and extent of the risks inherent in the use of the rock climbing wall

and FlowRider®.

Student’s Printed Name

Student’s ID #

Parent/Legal Guardian’s Printed Name

(for student under 18 years old)

Student’s Signature

Parent/Legal Guardian’s Signature

Date

Release Authorization Page 12