Liability Release Form For Rodger Frievalt Ministries Victory Center Church (Page 2 of 3) in pdf

Liability Release Form For Rodger Frievalt Ministries Victory Center Church Page 2

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eath, and damage to or loss of my

personal property, and any delay, change or cancellation of travel arrangements, and any and all

other damage or expenses I may suffer as a result of participation in this ministry trip or in

activities related to it. I agree to be fully responsible for my actions. Should I become ill or

injured or suffer other damage, I will pay all costs involved including costs of evacuation and

medical care I might receive.

I ACCEPT AND ASSUME ALL RISKS AND HAZARDS FROM THIS ACTIVITY, BOTH KNOWN AND UNKNOWN,

INCLUDING BUT NOT LIMITED TO THE RISKS AND HAZARDS IDENTIFIED ABOVE.

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I HEREBY VOLUNTARILY RELEASE, FOREVER DISCHARGE, AND AGREE TO HOLD HARMLESS AND

INDEMNIFY

RODGER FRIEVALT MINISTRIES and VICTORY CENTER CHURCH, ITS DIRECTORS, OFFICERS, EMPLOYEES,

COORDINATORS, FACILITATORS, VOLUNTEERS, AND OTHER TEAM MEMBERS FROM ANY AND ALL

LIABILITY, CLAIMS, DEMANDS, ACTIONS OR RIGHTS OF ACTIONS, WHICH ARE RELATED TO, ARISE OUT

OF, OR ARE IN ANY WAY CONNECTED WITH MY PARTICIPATION IN THIS ACTIVITY, WHICH I NOW HAVE

OR MAY HAVE IN THE FUTURE, SPECIFICALLY INCLUDING BUT NOT LIMITED TO THE NEGLIGENT ACTS OR

OMISSIONS OF ANY PERSON SO RELEASED, HELD HARMLESS AND INDEMNIFIED, AND SPECIFICALLY

INCLUDING CLAIMS RELATING TO ANY PERSONAL INJURY THAT I MAY SUFFER.

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I AGREE NOT TO MAKE A CLAIM, FILE SUIT OR DEMAND ANYTHING FOR ANY INJURY, DEATH OR LOSS

THAT ARISES FROM MY PARTICIPATION IN THIS ACTIVITY.

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I AGREE TO PAY THE COSTS AND/OR LEGAL EXPENSES INCURRED BY THE TRIP LEADER(S), ORGANIZERS

AND/OR PARTICIPANTS AS A RESULT OF ANY CLAIM OR SUIT FILED BY ME, OR FILED BY ANYONE ELSE AS

A RESULT OF MY CONDUCT.

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I CONSENT AND AGREE TO PAY FOR ANY MEDICAL TREATMENT RENDERED TO ME BY ANYONE FOR ANY

INJURY OR OTHER MEDICAL SITUATION DURING, OR RESULTING FROM, MY PARTICIPATION.

INITIALS:__________

I AUTHORIZE RODGER FRIEVALT MINISTRIES and VICTORY CENTER CHURCH TO ARRANGE FOR

TRANSPORTATION, FOOD AND LODGING FOR ME ON THIS TRIP.

Liability Release Form For Rodger Frievalt Ministries Victory Center Church Page 2