RELEASE, WAIVER, AND INDEMNITY AGREEMENT *
IT IS THE INTENTION OF (PARENT OR GUARDIAN OF MINOR) BY THIS AGREEMENT TO EXEMPT AND RELIEVE The Movement Church AND ITS OFFICERS, AGENTS, SERVANTS, OR EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH OF Participants listed below, CAUSED BY ANY ACT OF NEGLIGENCE OF The Movement Church AND ITS OFFICERS, AGENTS, SERVANTS, OR EMPLOYEES. For and in consideration of permitting PARTICIPANTS LISTED BELOW to observe, or use any facility or equipment of THE MOVEMENT CHURCH, or engage in and/or receive instruction in any activity or activity incidental thereto SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY as a part of THE STUDENTs of THE MOVEMENT CHURCH in the city of LAGUNA NIGUEL, ORANGE COUNTY, and State of CA, in the year of 2016, the undersigned parent and/or guardian of PARTICIPANTS LISTED BELOW: hereby voluntarily and absolutely releases, discharges, waives, and relinquishes any and all loss or damages or actions or causes of action for personal injury, property damage, or wrongful death occurring to PARTICIPANTS LISTED BELOW as a result of PARTICIPANTS LISTED BELOW's observing or using facilities or equipment of THE MOVEMENT CHURCH, or engaging in or receiving instructions in any activities SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY or in activities incidental thereto wherever or however the same may occur, and for whatever period said activities or instructions may continue. The undersigned parent or guardian of PARTICIPANTS LISTED BELOW for him/herself, his/her heirs, executors, administrators, or assigns agrees that in the event any claim for personal injury, property damage, or wrongful death shall be prosecuted against THE MOVEMENT CHURCH or its officers, agents, servants, or employees, the undersigned parent or guardian will indemnify and hold harmless THE MOVEMENT CHURCH and its officers, agents, servants, or employees from any and all claims or causes of action by PARTICIPANTS LISTED BELOW or by any other person or entity, by whomever or wherever made or presented, and under no circumstances will the undersigned parent or guardian of PARTICIPANTS LISTED BELOW present any claim against THE MOVEMENT CHURCH and said persons for personal injuries, property damage, wrongful death, or otherwise, caused by any act of negligence by THE MOVEMENT CHURCH and said persons. The undersigned parent or guardian represent that he/she has read this Release, has requested and has been provided with, or has requested and declined advisement on the potential dangers/risks of engaging in the observation, activities, or instruction offered, assumes all risks associated with such dangers and risks, and is fully aware of and understands the terms and the legal consequences of the signing of this Release. The undersigned parent or legal guardian intends his or her signature to be a complete and unconditional release of all liability to the greatest extent allowed by law and if any portion of the Release is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
PARENT/LEGAL GUARDIAN
PARENT/LEGAL GUARDIAN