Loading...

www.BENCHMARK.org
Instagram & Facebook: BenchmarkAdventure
615.972.9033
more.info@BENCHMARK.org

Assumption of Risk and Waiver of Liability

BENCHMARK Adventure Ministries, Inc. (“BENCHMARK “) would like you to know the ministry event (“the Program”) in which you will participate will involve active learning experiences (the “Activities”), some of which may be conducted almost exclusively in the outdoors or wilderness, and may involve unpredictable weather, surroundings and conditions. These conditions may include, but not be limited to, rugged terrain, slippery rocks, falling rocks, obstacles, water, wild animals, insects, reptiles, poisonous plants, precipitation, lightning, and extremes of heat and cold.

Various risks of personal injury are inherent in any active learning and / or wilderness experience. It is impossible to guarantee absolute safety. These include, but are not limited to, sprains, concussions, broken bones, lacerations, abnormal blood pressure, heartbeat disorders, fainting, shortness of breath, chest pain, stroke, heart attack or death.

By signing this waiver, you acknowledge that you are solely responsible for consulting with your own physician to verify your current health status and to assess your physical and mental ability in selecting your level of participation in the Program and Activities. Further, you are solely responsible for deciding whether to participate in this experience and, while participating, for deciding whether or not to continue in it. You are advised that you may experience stresses in remote areas without medical facilities. 

By signing this waiver, you acknowledge that you have voluntarily assumed all risks of personal injury, illness or death and all risks of loss or damage to your property arising from your participation in the Program and Activities whether such risks are known or unknown. You acknowledge and agree that BENCHMARK is not responsible for any of the injuries, damages or loss that you may incur in connection with your participation or engaging in the Program and Activities hosted by BENCHMARK. 

BY SIGNING THIS WAIVER, YOU HEREBY ON BEHALF OF YOURSELF AND YOUR RESPECTIVE AGENTS, RELEASE, WAIVE, FOREVER DISCHARGE AND/OR COVENANT NOT TO SUE BENCHMARK, ITS AFFILIATES, AND THEIR DIRECTORS, OFFICERS, EMPLOYEES, CONTRACTORS, CONSULTANTS AND AGENTS (COLLECTIVELY, THE “RELEASED PARTIES”) FOR ANY AND ALL LOSS OR DAMAGE AND/OR CLAIMS OR DEMANDS OF ANY TYPE, FORESEEABLE OR NOT, KNOWN OR UNKNOWN, ON ACCOUNT OF OR IN ANY WAY RELATED TO ANY ILLNESS, CONDITION, AND/OR INJURY TO YOUR PERSON OR PROPERTY, INCLUDING YOUR DEATH, ARISING FROM OR IN CONNECTION WITH YOUR PARTICIPATION IN THE PROGRAM OR ENGAGING IN THE ACTIVITIES. 

BY SIGNING THIS WAIVER, YOU HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS BENCHMARK AND THE RELEASED PARTIES FROM ANY AND ALL LOSS, LIABILITY, DAMAGE OR COST OF ANY TYPE WHICH THEY MAY INCUR AS A RESULT OF OR IN CONNECTION WITH ANY ILLNESS, CONDITION AND/OR INJURY TO YOUR PERSON OR PROPERTY AS A RESULT OF YOUR PARTICIPATION IN THE PROGRAM OR ENGAGING IN ANY OF THE ACTIVITIES. 

By signing this waiver, you further grant BENCHMARK the right to use, for promotional purposes, any photographs or video taken of you during your participation in the Program and Activities. 

You further acknowledge that no promise has been made to you to induce your signature to this waiver except as stated herein. You represent that you are 18 years of age or older or are represented by your authorized legal guardian or parent whose signature appears below.

Today's Date: September 8, 2024

First Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First 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 about BENCHMARK by e-mail.
Are you with a group? Please let us know which one!

Click to customize text box label
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First 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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!