Authorization for emergency medical treatment must be completed before participant can participate in activities including Archery Tag. Treatment for injury will be based on information provided on this form.
By checking the box below and submitting this form, I, the undersigned participant, acknowledge and fully understand that I will be engaging in activities that involve risk of serious injury, including permanent disability or death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but action, inaction or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, there may be other unknown risks not reasonably foreseeable at this time, assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death, hereby release, discharge, covenants to indemnify and not to sue Living Stones Christian Church, its directors, officers, employees, coaches, managers, agents, sponsors and associated personnel including those of its affiliated organizations, and the owners and lessors of premises used to conduct the event, all of which are hereinafter referred to as 'releasees', from any and all liability to each of the undersigned, his/her heirs or next of kin for any and all against any claim by or on behalf of the applicant as a result of the applicant's participation in the program and/or being transported to or from the same program. I assume all related risks, both known or unknown to me, of my participation in this activity, including travel to, from and during the activity. *
Thank you for submitting your Emergency Medical Release & Liability Waiver to participate in the Archery Tag event.
To secure your spot, please submit your payment of $23 via PayPal on the Living Stones’ donate page. Please note your payment is for “Archery Tag”. Thanks!