GENERAL ACKNOWLEDGEMENT OF RISK
The Episcopal Church in Jackson Hole
I will attend and participate in The Episcopal Church in Jackson Hole’s (the “Church”) activities for the calendar year 2018.
I hereby give permission to, and hereby authorize, the holder of this Insurance Disclosure, Waiver, and Permission Slip, as a representative and member of the Church, in the event of an emergency to act in my stead to consent to any medical treatment or hospitalization deemed necessary by a licensed physician or emergency team. I agree to be solely responsible for any and all costs involved in, or associated with, such medical or emergency treatment or hospitalization and hereby agree to hold the Church harmless from and against any and all such costs
In consideration of my participation in the Church’s programs and activities during the period in question, acting on my own behalf, I hereby release and discharge the Church, and/or any representatives of the Church involved in any and all activities during the aforementioned time period, from any and all liabilities whatsoever in exercising this permission. In addition, I hereby agree to hold the Church harmless from and against any and all liabilities, claims, causes of action or damages stemming from exercise of the permission set forth in this document.
Functions and Activities
I understand that participating in programs, recreation and other activities of St. John’s Episcopal Church is a privilege. Prior to my participation in such activities, I acknowledge that there are certain risks associated with these activities, including, by way of example, physical injury due to activity-related accidents, physical injury due to transportation-related accidents, illness or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.
Today's Date: May 21, 2019