I, as a chaperone, hereby voluntarily releases, discharges, waives, and relinquishes any and all claims for loss, damage or causes of action for including but not limited to property damage and personal injury occurring to the Minor as a result of Minor’s participation in any activity, use of facilities, or use of equipment associated with southern diocese Coptic Orthodox Churches, “the Church,” at the Church and/or at a location other than property own and/or rented by the Church.
I represent that I am the natural parent, custodian, legal guardian, or individual with the legal capacity to sign this Waiver, Consent and Release of Liability Form on behalf of Minor, binding myself, Minor, and Minor’s heirs, agents and all persons, natural and corporate, in privity with myself or Minor or both, from any and all claims or causes of action of any kind whatsoever, at common law, statutory or otherwise, that he or she has, or might have, known or unknown, now existing or that might arise hereafter, directly or indirectly attributable to the events and occurrences which shall transpire at the Church or in connection with the Church subsequent to the signing of this Waiver, Consent and Release.
I HEREBY WAIVE, RELEASE, AND DISCHARGE the Church, its affiliates, trustees, officers, employees, volunteers, and servants for acts that include but are not limited to personal injury, property damage, disability, theft, emotional distress, wrongful death, and/or any actions of any kind which may occur to Minor while participating at an event with the Church after signing this Waiver, Consent and Release including but not limited to traveling to and from the Church and/or participating in Church activities on and off property owned and/or rented by the Church.
I HEREBY CONSENT to the Minor being taught and/or instructed on any and all teachings of the Coptic Orthodox Church as approved by the Bishop of the Coptic Orthodox Diocese of the Southern United States.
I acknowledge that Minor’s participation in any activity with the Church may involve risks that require medical attention and by signing this Waiver, Consent, and Release, I am CONSENTING to the volunteers and/or servants of the Church to seek medical attention if necessary in their judgment including but not limited to hospitalization. Further, in such event I agree to release the Church, its affiliates, trustees, officers, employees, volunteers, and servants from any and all liability involving the medical treatment and I agree to, within my ability, pay for all fees associated with the medical treatment received by Minor.
I expressly agree that this Waiver, Consent, and Release is intended to be as broad and inclusive as permitted by the laws of this state and that if any portion of this document is deemed invalid, the remainder of this document shall notwithstanding continue in full legal force and effect.
I certify that I have read and understood this document; that I am aware this is a release of liability and a contract; that I am eighteen years of age or older, of sound mind, have authority to sign this document on behalf of myself and Minor, that I am competent to sign this document; and that I am signing this document of my own free will.