First Baptist Shreveport Chinese Mission

THIS IS A RELEASE OF LIABILITY – READ BEFORE SIGNING
THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN ANY CHURCH SPONSORED OR RELATED EVENT.

1. Risk of injury from the activities could be significant, including the potential for permanent disability and death, and while particular protective equipment and personal discipline will minimize this risk, the risk of serious injury does exits;
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of those persons released from liability for my participation; and,
3. I understand that the activities sponsored by FIRST BAPTIST SHREVEPORT CHINESE MISSION can be physically and mentally intense. I understand there are rules that govern our activities and will comply with all rules and regulations. If I observe any unusual or unnecessary hazard during my participation, I will bring such to the attention of the nearest official as soon as practical; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS FIRST BAPTIST SHREVEPORT CHINESE MISSION, the owners and lessors of premises used to conduct the activities, their officers, officials, agents and/or employees (“Releasees”) WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, except that which is the result of negligence and/or wanton misconduct.
5. I understand and agree that this Release of Liability Agreement covers each and every activity and event in which I participate hereafter.
6. Said release shall further assign to FIRST BAPTIST SHREVEPORT CHINESE MISSION all rights to use any photographs or video of me or my child taken relative to the sponsored activities.
7. This is a release to use pictures taken at event for church website and church related promotional documents.

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.

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree not only to his/her release of FIRST BAPTIST SHREVEPORT CHINESE MISSION and all other Releasees but also to release and indemnify the releases from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.

Student Health History Information

Release of Medical Liability Every activity sponsored by FBSCM-FCC is carefully planned and supervised by mature adults. However, even with the best of planning and precaution, unforeseen events can happen. Knowing this, I give permission for my child to participate in the class activity sponsored by FBSCM-FCC. I agree to assume and accept all risks and hazards inherent in FBSCM-FCC related school activities. I give my consent to allow my child to participate in all the class activities. I hereby release FBSCM-FCC, its teachers from any liability for injury that my child may sustain during activities. In case of illness or injury, and in the event, I am unable to respond, I authorize FBSCM-FCC members or volunteers to allow emergency medical treatment or surgery by a licensed physician or hospital. I understand that I am signing for the minor listed on this form and in my own capacity as parent or legal guardian and the signature is for medical, liability, information release.