Loading...

MEKOS Release Of Liability Waiver & Indemnity Hold Harmless Agreement

Under the age of 18 Parent or legal guardian must present proof of ID when signing the waiver in front of a Mekos Surf, Skate and More/Invert Ministries employee and a copy of the document will be made. If parent or legal guardian of participant under the age of 18 is not present the waiver for Mekos/Invert Ministries must be notarized. This waiver is kept on file permanently. Please be respectful of this process and alert us if any of the information changes. Thank You.

Over the age of 18. A driver’s license Or a photo ID Is required at the time of signing the Mekos / Invert Ministries waiver For proof of age. A copy of this document will be made and kept on file.

In consideration of being allowed to participate in any way the Mekos / Invert Ministries program for Mekos related events, activities, and all other sanctioned events the undersigned acknowledges, appreciate, and agree that:

  1. The risk of injury from activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline May reduce this risk, the risk of serious injury to me does exist.
  2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation.
  3. I willingly agreed to comply with the stated and customary terms and conditions for participation. If I observe any unusual significant concern in my  readiness for participation and/or in the program itself, I will remove myself from participation and bring to the attention of the nearest Mekos staff immediately.
  4. I, for myself and on behalf of my/our heirs, assigns, personal representatives next of kin, hereby release Mekos / Invert Ministries, its Board, Volunteers, and/or staff, other participants, sanctioned events, sanction organizations, sponsoring agencies, sponsors, vendors, advertisers, and if applicable, lessors of Mekos / Invert Ministries, lessors of these premises used to conduct the event, with respect to any and all injury, disability, death, or a loss or damage to person or property incident to my involvement or participation in these programs, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law.
  5. I, for myself and on behalf of my/our heirs, assigns, personal representatives and next-of-kin, hereby indemnify and hold harmless all of the above releasees from any and all liability including attorney’s fees and costs, incident to the participants involvement in these programs, even if a rising from their no negligence, to the fullest extent of the law.
  6. I, for myself and on behalf of my/ our heirs, assigns, personal representatives and next-of-kin, hereby waive and release the use of my photograph or like this for any reason or purpose.

I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it and sign it freely and voluntarily without any inducement.

Today's Date: September 30, 2020

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Participant's 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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact

Phone Number
In the event that I cannot be reached in an emergency, I hereby give permission to any licensed physician, surgeon, clinic, or hospital to secure popper treatment, and to order anesthesia, for my child/myself as named above.*
No
Yes
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*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!