I, the undersigned participant or parent / legal guardian of a participating minor child
(under age 18) named above, acknowledge, understand, and agree that:
1. Voluntarily and of my own free will, I elect to participate and/or for my minor child to
participate in a ministry activity sponsored by Mitchell Road Presbyterian Church.
2. I understand that by attending and/or participating in a ministry activity there can
potentially involve risk to the Participant (and to Participant’s parents or guardians, if
Participant is a minor), and may result in various types of injury including, but not
limited to, the following: personal injury, bodily injury, sickness, death, emotional
injury, property and/or financial damages.
3. In consideration for the privilege and opportunity to participate in the activity
described above ("Activity"), the Participant (or parent/guardian if Participant is a
minor) acknowledges and accepts the risks of injury associated with participation in
and transportation to and from the Activity. The Participant (or parent/guardian)
accepts personal financial responsibility for any injury or other loss sustained during
the Activity or during transportation to and from the activity, as well as for any
medical treatment rendered to the Participant that is authorized by the sponsor or its
agents, employees, volunteers, or any other representatives (collectively referred to
hereinafter as the "Activity Sponsor").
4. Furthermore, the Participant (or parent/guardian) releases and promises to indemnify,
defend, and hold harmless the Activity Sponsor for any injury arising directly or
indirectly out of the described Activity or transportation to and from the Activity,
whether such injury arises out of the negligence of the Activity Sponsor, the
Participant, or otherwise.
5. If a dispute over this agreement or any claim for damages arises, the Participant (or
parent/guardian) agrees to resolve the matter through a mutually acceptable
alternative dispute resolution process. If the Participant (or parent/guardian) and the
Activity Sponsor cannot agree upon such a process, the dispute will be submitted to a
three-member arbitration panel for resolution pursuant to the rules of the American
I acknowledge that I have read and that I understand each and every provision in this wavier,
release of liability and indemnification agreement and agree to abide by them.