Youth Waiver

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    Lighthouse Christian Church
    RELEASE, WAIVER, AND INDEMNITY AGREEMENT


    IT IS THE INTENTION OF [Parent] BY THIS AGREEMENT TO EXEMPT AND RELIEVE LIGHTHOUSE CHRISTIAN CHURCH AND ITS OFFICERS, AGENTS, SERVANTS, OR EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH OF [Minor] CAUSED BY ANY ACT OF NEGLIGENCE OF LIGHTHOUSE CHRISTIAN CHURCH AND ITS OFFICERS, AGENTS, SERVANTS, OR EMPLOYEES.

    For and in consideration of permitting [Minor] to observe, or use any facility or equipment of LIGHTHOUSE CHRISTIAN CHURCH, or engage in and/or receive instruction in any activity or activity incidental thereto SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY at: LIGHTHOUSE CHRISTIAN CHURCH in the city of Sonoma, County of Sonoma, and State of California, beginning on the day of 6/1/2020 1:06 PM, the undersigned parent and/or guardian of [Minor]: hereby voluntarily and absolutely releases, discharges, waives, and relinquishes any and all loss or damages or actions or causes of action for personal injury, property damage, or wrongful death occurring to [Minor] as a result of [Minor]'s observing or using facilities or equipment of LIGHTHOUSE CHRISTIAN CHURCH, or engaging in or receiving instructions in any activities SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY or in activities incidental thereto wherever or however the same may occur, and for whatever period said activities or instructions may continue.

    The undersigned parent or guardian of [Minor] for him/herself, his/her heirs, executors, administrators, or assigns agrees that in the event any claim for personal injury, property damage, or wrongful death shall be prosecuted against LIGHTHOUSE CHRISTIAN CHURCH or its officers, agents, servants, or employees, the undersigned parent or guardian will indemnify and hold harmless LIGHTHOUSE CHRISTIAN CHURCH and its officers, agents, servants, or employees from any and all claims or causes of action by [Minor] or by any other person or entity, by whomever or wherever made or presented, and under no circumstances will the undersigned parent or guardian of [Minor] present any claim against LIGHTHOUSE CHRISTIAN CHURCH and said persons for personal injuries, property damage, wrongful death, or otherwise, caused by any act of negligence by LIGHTHOUSE CHRISTIAN CHURCH and said persons.

    The undersigned parent or guardian represent that he/she has read this Release, has requested and has been provided with, or has requested and declined advisement on the potential dangers/risks of engaging in the observation, activities, or instruction offered, assumes all risks associated with such dangers and risks, and is fully aware of and understands the terms and the legal consequences of the signing of this Release. The undersigned parent or legal guardian intends his or her signature to be a complete and unconditional release of all liability to the greatest extent allowed by law and if any portion of the Release is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.





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  • By electronically signing this form, I agree that my electronic signature, whether digital or encrypted, included in this Agreement are intended to authenticate this writing and to have the same force and effect as manual signatures. Delivery of a copy of this Agreement or any other document contemplated hereby bearing an original or electronic signature by electronic mail in “portable document format” (“.pdf”) form, or by any other electronic means intended to preserve the original graphic and pictorial appearance of a document, will have the same effect as physical delivery of the paper document bearing an original or electronic signature.

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