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Dexter United Methodist Church 
Event Waiver and Release

Simple Terms: by participating in a DUMC fitness event, you accept any risk of injury to you, your guests and to any minor children you bring to it.  You agree not to hold DUMC liable for any injury or harm incurred as a result of your participation in this event.

Legalese Below:

Parties - This Waiver and Release is given by you to Dexter United Methodist Church (“DUMC”), a Michigan entity. The terms “participant”, “user”, “guest” or “you” include you, your guests, and any minor children you bring into DUMC’s facilities.

Waiver and Release - You hereby acknowledge that while exercise is encouraged to promote both physical and mental health, your attendance or participation in this event may result in injury. You further acknowledge it is impossible to eliminate the risk of injury, which may result from or arise out of your participation. You further acknowledge that you have the responsibility to help reduce the risk of injury to yourself while participating in the event.

You agree, on behalf of yourself and your heirs, executors, administrators, and assigns, to fully and forever waive, indemnify, hold harmless, release and discharge DUMC, its affiliates, operators, and all of their respective officers, employees, agents, successors, and assigns, from any and all claims, damages, demands, rights of action or causes of action, present or future, known or unknown, anticipated or unanticipated, resulting from or arising out of your participation in the event, whether or not based on the acts or omissions of the released parties. Further, you hereby agree or waive any and all such claims, damages, demands, rights or action or causes of action. You assume the sole responsibility for your personal property and the personal property of your guests and acknowledge and agree that DUMC shall not be responsible for any loss, theft, or damage to any personal property while participating in the event.

Further, you hereby release and forever discharge and hold harmless, DUMC, its affiliates, operators, and all of their respective officers, employees, agents, successors, and assigns, from any and all liability, claims and demands of whatever kind of nature either in law or in equity, which may arise or hereafter arise from all causes described herein.

By registering for and/or participating in this event, you acknowledge that you agree to the terms of this waiver and release and fully understand that it is a waiver and release of any and all liability.

Today's Date: July 25, 2021

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, updates by e-mail.
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.


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