Insurance Waiver Waiver of Liability, Assumption of Risk and Indemnity Agreement MINISTRY OR ACTIVITY NAME (EXAMPLES:YOUTH, CHILDREN, YOUNG AT HEART, ETC.)(Required) WAIVER OF LIABILITY & ASSUMPTION OF RISK(Required) I have read the paragraphs below and I know, understand, and appreciate these and other risks that are inherent in the activities made possible by Campbellsville Baptist Church. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.Waiver: In consideration of permission to use, today and on all future dates, the property, facilities, staff, equipment and services of Campbellsville Baptist Church, I, for myself, my heirs, personal representatives or assigns, or on behalf of my minor child, do hereby release, waive, discharge, and covenant not to sue Campbellsville Baptist Church, its directors, officers, employees, and agents from liability from any and all claims including the negligence of Campbellsville Baptist Church resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in activities, classes, observation, and use of facilities, premises, or equipment. Assumption of Risks: This use of church property, facilities, staff, equipment, and/or services carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Campbellsville Baptist Church has facilities for and provides for activities such as social events, community outreach, classes, camps, and day care. Some of these involve situations, environments, or activities that may lead to illness, physical injuries, and psychological stress or damage. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, sprains, and embarrassment; 2) major injuries such as joint or back injuries, heart attacks, head injuries, and psychological trauma; 3) catastrophic injuries including paralysis and death.ACKNOWLEDGEMENET OF UNDERSTANDING(Required) I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be complete and unconditional release of all liability, to the greatest extent allowed by law.Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD Campbellsville Baptist Church HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement at Campbellsville Baptist Church and to reimburse them for any such expenses incurred. Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Kentucky and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in the full legal force and effect.PARENT/GUARDIAN NAME (REQUIRED FOR UNDER 18) First Last PLEASE LIST NAME (AND AGE IF UNDER 18) OF ALL ATTENDING THE EVENT BELOW:(Required) Δ
