I hereby consent to participate in programs, activities, or games offered at the above named location and dates sponserd by Summit View Church. I hereby agree that I waive and release all rights and claims that I may have at any time against Summit View Church or its representatives, whether paid or volunteer, from any injury or damages in connection with Summit View Church programs and activities. The undersigned shall indemnify and hold harmless the staff, volunteers and members of Summit View Church against any and all damage and/or expense which it may incur as the result of any claim or lawsuit instituted on behalf of the undersigned. The undersigned states that she is in good health and in proper physical condition to participate in activities held at Summit View Church or hosted by Summit View Church at another location.
MEDICAL RELEASE: In the event of an emergency, I hereby authorize an adult leader of the activity, as an agent for me, to consent to any x-ray examination; medical, dental, anesthetic or surgical diagnosis; treatments; and hospital care advised and supervised by a licensed physician, surgeon or dentist (as appropriate) licensed to practice under the laws of the state where the services are to be rendered, either at the physicians office or in a hospital. I further promise to hold harmless Summit View Church and/or its employees, agents and volunteers from any and all expense incurred pursuant to this authorization in obtaining medical treatment and/or transfer, including but not limited to: ambulance expense, cost of paramedics, hospital expense and/or physician charges.
MEDIA RELEASE: I also agree that participation grants Summit View Church and its agents the right to take and utilize photographs without any legal or financial obligation.
I expressly agree that this Release and Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Washington and I agree that in the event that any provision of this Release and Waiver shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release and Waiver which shall continue to be enforceable.
IMPORTANT INSURANCE NOTE: In the event of an injury to the attendee, it is the policy of the church that the individuals insurance be primary and Summit View Church medical coverage be secondary up to a maximum of $10,000.