General Release Of Liability Form

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES  being conducted by Mirror Ministries, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.   

I acknowledge that this Accident Waiver and Release of Liability Form will be used by Mirror  Ministries for the activity in which I am participating in and that it will govern my actions and responsibilities at said activity.  

In consideration of my application and permitting me to participate in this activity, I hereby take  action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as  follows:  

(1) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, Mirror Ministries and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; 

(2) PHOTO CONSENT: I acknowledge that my photo may be taken during the event and used on Mirror Ministries’ social media, website, or other platforms deemed appropriate for promotional reasons. I understand that my image may be used without further notification or compensation.

(3) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.

(4) I certify that have not been convicted of a crime and am not a registered sexual offender.

I acknowledge that Mirror Ministries and their directors, officers, volunteers, representatives,  and agents are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.  

I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants,  equipment, vehicular traffic, lack of hydration, and actions of other people, including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers.   

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.  

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.  

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS  CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A  CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
 

General Provisions

I understand that this Agreement will be binding for so long as I am a volunteer at Mirror Ministries. This Agreement will run in favor of, and may be enforced by, each of the Mirror Ministries Parties, and will bind my heirs, next of kin, and legal representatives. This Agreement will be binding to the fullest extent permitted by law. If any provision of this Agreement is found to be unenforceable, the other terms remain effective.
I affirm that I am of legal age and able to sign on my own behalf and am freely signing this Agreement. I have read this Agreement and fully understand that by signing this Agreement, I am giving up legal rights and remedies that may be available to me and to other persons.
I affirm that I am the parent or legal guardian of the participant and am freely signing this document on their behalf. I certify that I have the authority to sign on behalf of the participant and to make decisions for the participant regarding volunteering. I also waive and release Client Parties from any and all liability, claims, costs, and damages of any kind which I may have resulting or arising directly or indirectly from the participant’s participation in volunteering. I have read this Agreement and fully understand that by signing this Agreement, I am giving up legal rights and remedies that may be available to the participant, to me, and to other persons.
Name if Participant is a Minor
First Name
Last Name
Contact Information

I agree to the above liability waivers by filling in and submitting this form.

First Name *
Last Name *
Emergency Contact
First Name *
Last Name *