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  • Family Contact Information

    In case of an emergency, please provide the following information for your spouse or nearest relative/friend.
  • Release Waiver

    This WAIVER OF LIABILITY, RELEASE AND INDEMNITY AGREEMENT ("Release") is made by the adult registering online (the "PARTICIPANT") TO RELEASE AND indemnify Grace Church of Humble, affiliated corporate entities, and all their respective officers, directors, agents, volunteers successors, representatives, and assignees (collectively, "Grace Church") as set forth below: PARTICIPANT hereby grants GRACE CHURCH this full waiver of liability, release, and indemnification in exchange for permitting PARTICIPANT to participate in Camp Freedom scheduled to take place at The Little Country Church located in New Caney, TX. PARTICIPANT will be required to comply with the estabilshed rules of Grace Church. Release, Waiver and Indemnity PARTICIPANT voluntarily participates in the activities, including being transported to and from the venue, of the activities where applicable with the full knowledge and understanding and appreciation of the risks of injury and or danger that is inherent in participating in the activity which will include ground transportation of the PARTICIPANT, and expressly assumes all risks of injury, danger and harm, and even death which may occur by reason of participation in the activity. PARTICIPANT agrees to release, indemnify, defend and hold harmless GRACE CHURCH at PARTICIPANT'S sole cost from any claim for loss, costs, damages, or expenses, arising from death or boddily injury. GRACE CHURCH'S failure to render medical assistance, or any other damage to persons or property, including loss or theft of property, that occurs by reason of PARTICIPANT'S participation in the activity and; (i) the negligent acts or omissions of GRACE CHURCH; or (ii) the negligent, grossly negligent or intentional acts or omissions of PARTICIPANT; or (iii) the negligent, frossly negligent of intentional acts or omissions of any third party; PARTICIPANT, by signing below, certifies and fully understands that this release will provide an absolute defense to any lawsuit or claim against GRACE CHURCH for any injuries or damage that PARTICIPANT may incur by reason of PARTICIPANT'S participation in the activity. MEDICAL: PARTICIPANT consents to emergency medical care and transportation in order to obtain treatment in the event of any injury to PARTICIPANT, as GRACE CHURCH may deem appropriate. This release extends to damage or loss rising out of the medical treatment and transportation provided in the event of an emergency, including the negligent acts or omissions of any health care providers, their agents, employees, or representatives. SEVERABILTIY: If an provision or portion of this Release is found to be invalid by a court of competent jurisdiction, the remaining portions and provisions shall remain effective and shall be construed as if the invalid portion of the provision ad not been contained herein.
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