The Refuge Church
Children Release Of Liability Form
I, as the Parent/Guardian
of the child(ren) listed above,
HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES being conducted by The Refuge Church
at the temporary location of 203 E. College Dr, Devine TX 78016, including by way of example and not limitation, any risks that
may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective
equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I CERTIFY
that my child(ren) am/are physically fit, have sufficiently prepared or trained for participation in this activity, and have not been
advised to not participate by a qualified medical professional. I CERTIFY that there are no health-related reasons or problems
which preclude my child(ren) in this activity. I acknowledge that this Accident Waiver and Release of Liability Form will be used
by the event holders, sponsors, and organizers of the activity in which my child(ren) may participate, and that it will govern my
actions and responsibilities at said activity. In consideration of my application and permitting me to participate in this activity, I
hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (1) I WAIVE,
RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault
of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any
kind which may hereafter occur to my child(ren) including my traveling to and from this activity, THE FOLLOWING ENTITIES OR
PERSONS: the Refuge Church staff and/or their directors, officers, employees, volunteers, representatives, and
agents, and the activity holders, sponsors, and volunteers; (2) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE
the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this
activity, whether caused by the negligence of release or otherwise. I acknowledge that The Refuge Staff and their directors,
officers, volunteers, representatives, and agents are NOT responsible for errors, omissions, acts, or failures to act of any
party or entity conducting a specific activity on their behalf. I acknowledge that this activity may involve a test of a person's
physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are
not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic,
lack of hydration, and actions of other people, including, but not limited to, participants, volunteers, monitors, and/or producers
of the activity. These risks are not only inherent to participants, but are also present for volunteers. I hereby consent to receive
medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I
understand while participating in this activity, my child(ren) may be photographed. I agree to allow my child(ren) photos, videos,
or films likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. The
Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent
permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS
CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.