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Adult Liability and Photo Release Form

 ASSUMPTION OF RISK FORM FOR ADULT VOLUNTEER - OUTREACH

 

 

I, ____________________________, (NAME OF VOLUNTEER), in consideration of my acceptance as an outreach volunteer in the community sponsored by Celebration Church 9555 RG Skinner Parkway to Outreach, represent and agree that:

 

I am a volunteer worker and not an employee of my church.

 

I am aware of the hazards and risks to my person and property associated with serving in an outreach capacity, such hazards and risks including, but not being limited to, death or injury by accident, disease, war, kidnapping, terrorist acts, weather conditions, inadequate medical services and supplies, criminal activity, and random acts of violence. I accept my assignment with full awareness of these risks, and subject to any insurance coverage that may be available to me from any source, and only with respect to my church and its agents, officers, directors, and employees from any liability whatever arising as a result of death, injury, or illness that I may suffer as a result of participation in the missions project. I further recognize that such risks have always been associated with missionary service. 2 Corinthians 11:23-28.

 

I attest and certify that I have no medical conditions that would prevent me from performing my duties.

 

I expressly waive any defense to the enforcement of any provision of this commitment arising from a claim of lack of consideration and warrant that this commitment constitutes a legal, valid, and binding obligation upon me enforceable against me in accordance with its terms.

 

I am aware of the hazards and risks to my person associated with participation in an outreach, as described above. I further understand that my church may not have any insurance coverage that would apply in the event of my death, illness, injury, or damage to my property that may occur during my participation at the event, and that if I desire insurance coverage I am responsible for the cost of such insurance.

 

I expressly agree that this assumption of risk agreement is intended to be as broad and inclusive as permitted by law. I further state that I HAVE CAREFULLY READ THE FOREGOING ASSUMPTION OF RISK AND UNDERSTAND ITS CONTENTS, AND I VOLUNTARILY SIGN THIS RELEASE AS MY OWN FREE ACT. THIS IS A LEGAL DOCUMENT AND I UNDERSTAND THAT I HAVE THE OPPORTUNITY TO CONSULT WITH AN ATTORNEY BEFORE SIGNING IT.

 

PHOTO RELEASE FORM FOR ADULT VOLUNTEER

 

I,_____________________________ _, hereby grant permission to Celebration Church of Jacksonville, Inc. (the “Church”) to use my photograph, likeness, image, voice, or performance on its Internet website, CD or DVD labels, video tape or film clips, advertisements or other official Church publications at the sole discretion of the Church and to be used in whole or in part of any and all broadcasting, audio/visual, and/or exhibition purposes in any manner or media, in perpetuity, throughout the world.

 

 

I represent that I have the right, capacity, and authority to enter into this agreement (herein after called “Agreement”) and that my appearance and the rights I have granted in this Agreement will not conflict with or violate any commitment or understanding I have with any other person or entity.

 

I understand that once my image appears on the Church’s website, the image can be downloaded by any computer user. I expressly release the Church, its officers, directors, employees, volunteers, and agents from any and all claims arising out of the use of my photograph or image on the Church’s website. I agree to indemnify and hold harmless the Church, its officers, directors, employees, volunteers, and agents from and against all claims, losses, expenses, and liabilities of every kind including reasonable attorney’s fees arising out of the inaccuracy or breach of any provision of this Agreement.

 

In consideration for my appearance and/or performance on the Church’s Internet website, CD or DVD labels, video tape or film clips, advertisements or other official Church publication and all rights granted hereunder, I do not require or expect any monetary or financial payment or incentive or benefit but consider my appearance and/or performance to be a form of service to the Church.

This Agreement represents the entire understanding of the parties and may not be amended unless mutually agreed to by both parties in writing. The Participant hereby acknowledges and agrees that the Participant has carefully read this Waiver, that the Participant fully understands the same, and that the Participant is freely and voluntarily executing the same.

The Participant understands that by signing this Waiver, the Participant agrees to be forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the above noted activity.

Governing Law

This Waiver will be construed in accordance with and governed by the laws of the State of Florida.

 

 

First Volunteers Name

First Name*

Middle Name

Last Name*

Phone*
First Volunteers Date of Birth*
First Volunteers Signature*
Second Volunteers Name

First Name*

Middle Name

Last Name*
Second Volunteers Date of Birth*
Third Volunteers Name

First Name*

Middle Name

Last Name*
Third Volunteers Date of Birth*
Fourth Volunteers Name

First Name*

Middle Name

Last Name*
Fourth Volunteers Date of Birth*
Fifth Volunteers Name

First Name*

Middle Name

Last Name*
Fifth Volunteers Date of Birth*
Sixth Volunteers Name

First Name*

Middle Name

Last Name*
Sixth Volunteers Date of Birth*
Seventh Volunteers Name

First Name*

Middle Name

Last Name*
Seventh Volunteers Date of Birth*
Eighth Volunteers Name

First Name*

Middle Name

Last Name*
Eighth Volunteers Date of Birth*
Ninth Volunteers Name

First Name*

Middle Name

Last Name*
Ninth Volunteers Date of Birth*
Tenth Volunteers Name

First Name*

Middle Name

Last Name*
Tenth Volunteers Date of Birth*
Volunteers Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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