Which E-Life program are you interested in?(Required)

AUTHORIZATION, RELEASE AND CONSENT

EMERGENCY AUTHORIZATION: I, the undersigned adult volunteer applicant, or the parent or legal guardian of the minor volunteer applicant, hereby authorize the person(s) leading or directing E-Life Program of the Bay Area Christian Church activities or events, including coaches, instructors, other volunteers, the above identified emergency contact and/or other E-Life Program officials, to use their best judgment and act as my agent(s) in obtaining medical, dental or surgical attention and/or treatment, for me or the minor volunteer applicant, should such attention or treatment become necessary and appropriate under the circumstances, as a result of my or the minor volunteer applicant’s participation in E-Life Program activities or events. In granting this permission, it is expressly understood that any expenses incurred by or on behalf of me or the minor volunteer applicant for such treatment and/or attention, are my sole responsibility and I represent and warrant that I have valid health care coverage and/or the financial ability to pay for such expenses.  

ASSUMPTION OF RISK: I, the undersigned adult volunteer applicant, or the parent or legal guardian of the minor volunteer applicant, for myself and/or on behalf of the minor volunteer applicant, our heirs, assigns and next of kin, acknowledge that participation in E-Life Program of the Bay Area Christian Church activities or events involves risk of physical injury and possible death. For myself, and/or on behalf of the minor volunteer applicant, our heirs, assigns and next of kin, we willingly and voluntarily accept and assume all such risk.  

WAIVER, RELEASE AND INDEMNIFICATION: In consideration of E-Life Program of the Bay Area Christian Church permitting the me and/or the minor volunteer applicant to participate in its programs, I, the undersigned adult volunteer applicant, or the parent or legal guardian of the minor volunteer applicant, for myself and/or on behalf of the minor volunteer applicant, our heirs, assigns and next of kin, hereby waive all claims and release, discharge, agree to hold harmless and indemnify E-Life Program of the Bay Area Christian Church, its board of directors, officers, employees, volunteers, officials, sponsors and other representatives from any and all actions, claims, costs, expenses and demands of every kind and description including, but not limited to, personal injury, property damage and death, based on negligence, contract claim or other legal theory, arising out of, during or in any way related my and/or the minor volunteer applicant’s participation in E-Life Program activities or events.  

PERSONAL INFORMATION - CONSENT, WAIVER AND RELEASE: I, undersigned adult volunteer applicant, or the parent or legal guardian of the minor volunteer applicant, for myself and/or on behalf of the minor volunteer applicant, our heirs, assigns and next of kin, hereby consent and give permission to E-Life Program of the Bay Area Christian Church to take and compile sport related photographs, film, video and/or audio clips of me and/or the minor volunteer applicant and to use them, along with my name and/or the name of the minor volunteer applicant, as well as sport related personal information about myself and/or the minor volunteer applicant, in any printed material, film, video, audio or other medium, including CD, Internet or other electronic media, describing, advertising or promoting the E-Life Program. In consenting to such uses, we hereby waive the right to inspect and approve the images and information used, as well as all rights to compensation. We further release E-Life Program of the Bay Area Christian Church from any and all claims regarding use of the images or information, including, but not limited to, claims related to defamation, invasion of privacy, or infringement of moral rights, rights of publicity or copyright.  

I HAVE READ THE ABOVE EMERGENCY AUTHORIZATION, ASSUMPTION OF RISK, WAIVER, RELEASE AND INDEMNIFICATION AND PERSONAL INFORMATION -CONSENT, WAIVER AND RELEASE, AND I FULLY UNDERSTAND THE TERMS OF EACH. I FURTHER UNDERSTAND THAT THE MINOR VOLUNTEER APPLICANT AND/OR I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MY SIGNING THIS FORM AND AGREEING TO THESE TERMS. I AM AWARE THAT THIS FORM IS A LEGALLY BINDING AND ENFORCEABLE AGREEMENT, AND I SIGN THIS FORM AND AGREE TO THESE TERMS FREELY AND VOLUNTARILY, WITHOUT INDUCEMENT FOR MYSELF, AND ON BEHALF OF MYSELF AND/OR THE MINOR VOLUNTEER APPLICANT.
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