I, am the parent or legal guardian of the following minor child(ren): (“Child” or “Children”). I EXPRESSLY UNDERSTAND AND ACKNOWLEDGE THAT SOME OF THE YOUTH, MINISTRY AND/OR OUTREACH ACTIVITIES OF NORTH PENINSULA BAPTIST CHURCH OF ORMOND BEACH, INC., A FLORIDA NOT FOR PROFIT CORPORATION D/B/A GRACELIFE BEACHSIDE (“GRACELIFE BEACHSIDE”) INCLUDE INHERENTLY RISKY OUTDOOR ACTIVITIES INCLUDING, BUT NOT LIMITED TO: - A “Half-pipe” Skate-Ramp located behind church building
- Skateboarding in the parking lot/premises of Gracelife Beachside
- Surfing at Adjacent Beach
- Beach Activities (including swimming, boogie boarding, rafts, sports, campfires)
- Games & Leisure Activities on the premises of Gracelife Beachside or adjacent Bicentennial Park (Volusia County Park)
The above-listed activities are hereinafter collectively referred to as the “GRACELIFE BEACHSIDE YOUTH/MINISTRY OUTDOOR ACTIVITIES.” INITIAL EACH OF THE FOLLOWING PARAGRAPHS: I expressly authorize my above child(ren) to participate in all the GRACELIFE BEACHSIDE YOUTH/MINISTRY OUTDOOR ACTIVITIES. I do hereby forever agree, on behalf of my above child(ren) and/or other parent or legal guardian, successors, assigns, heirs, and personal representatives, and in consideration for the ability of my child(ren) to participate in the GRACELIFE BEACHSIDE YOUTH/MINISTRY OUTDOOR ACTIVITIES, to release, hold harmless and discharge GRACELIFE BEACHSIDE and its directors, officers, members, employees, volunteers, teachers, leaders, independent contractors, agents and/or sponsors, of any and all injuries (regardless of severity of injury), claims, demands, causes of action and legal liability, whether damages are known or unknown, arising in any way from my child(ren)’s direct or indirect participation in the GRACELIFE BEACHSIDE YOUTH/MINISTRY OUTDOOR ACTIVITIES. I do further forever agree, on behalf of my above child(ren) and/or other parent or legal guardian, successors, assigns, heirs, and personal representatives, and in consideration for the ability of my child(ren) to participate in the GRACELIFE BEACHSIDE YOUTH/MINISTRY OUTDOOR ACTIVITIES, not to bring any claims, demands, legal actions or causes of action against GRACELIFE BEACHSIDE and/or its directors, officers, members, employees, volunteers, independent contractors, agents and/or sponsors, for any economic or non-economic damages, costs, expenses and/or losses directly or indirectly attributable to any injury (physical or mental), paralysis, coma, death, theft, property damage arising in any way from my child(ren)’s direct or indirect participation in the GRACELIFE BEACHSIDE YOUTH/MINISTRY OUTDOOR ACTIVITIES. Both I and my chiId(ren) have read and agree to follow the Skate Ramp Warning & Rules of Use which are conspicuously posted inside the Skate Ramp Area and/or have otherwise been separately provided to me in writing contemporaneously with this form. My child(ren) are participating at their own risk in the GRACELIFE BEACHSIDE YOUTH/MINISTRY OUTDOOR ACTIVITIES. On behalf of my child(ren), I assume full responsibility for any and all damages and liability that may directly arise from my child(ren)’s participation in the GRACELIFE BEACHSIDE YOUTH/MINISTRY OUTDOOR ACTIVITIES, not only to my child(ren), but also to any other child/person (participating in said activities), the GRACELIFE BEACHSIDE church property and/or staff/volunteers Date: April 18, 2021 |