Registrations

2019-2020 Annual Liability Release Form

Release of All Claims

In considerations for being accepted by Living Waters Chapel of Lebanon, Pa. for participation in activities sponsored or attended on or between August 1, 2019 to August 31, 2020, we do hereby release, forever discharge and agree to hold harmless Living Waters Chapel of Lebanon, Pa. and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the trips or activities noted above.

Furthermore, we hereby assume all risk of personal injury, sickness, death, damage and expenses as a result of participation in recreation and work activities involved therein. Furthermore, authorization and permission is hereby given to said church to furnish any necessary transportation, food and lodging for this participant.

I, the undersigned, as parent or legal guardian of the below named minor do hereby acknowledge my understanding that photos, videos, and/or footage may be taken during events which may include images of my child. I understand that these images may be used in future publications, or other related purposes. I hereby give to Living Waters Chapel of Lebanon, Pa., the irrevocable right to use these images in any media form, including composite or distorted representations, for advertising, trade, or any other lawful purpose. I further waive any right to inspect or approve the finished product, including written copy, created with these images.

The undersigned further hereby agree to hold harmless and indemnify said church, its directors, employees and agents, for any liability sustained by such church as the result of negligent, willful, or intentional acts of said participant, including expenses incurred attendant thereto. We are the parents or legal guardians of this participant and hereby grant our permission for him/her to participate fully in said trip, and hereby give our permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any. Further, should it be necessary for the participant to return home due to medical reason, disciplinary action or otherwise, we hereby assume all transportation costs.
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