Permission Form - Adult 2024

I am aware that no recreational activities are without the possibility of unforeseen hazards. I understand that certain activities have the inherent possibility of risk, and it is impossible to list all such risks. I am aware that football, basketball, soccer, baseball, dodgeball and relay games, broom hockey, skiing, snow tubing, ice-skating, snowboarding, boating, water skiing, wakeboarding and tubing, use of personal watercraft, biking, rappelling, capture-the-flag, games at night, riflery, volleyball, roller-skating/blading, skateboarding, swimming, surfing, car rallies, carpooling, paintball, 9-square, kickball, gagaball, Kajabe, bounce houses, obstacle courses, ultimate frisbee and building projects (“the ACTIVITIES”) are potentially hazardous. I am voluntarily participating in the ACTIVITIES with the knowledge of the possibility of danger involved. I agree to accept any and all risks of injury or death to myself and verify this statement by initialing below.

I acknowledge that I have voluntarily decided to participate in the activities/events, which are sponsored by Calvary Church of Santa Ana (CCSA), between January 1, 2024 and December 31, 2024.

Liability Release
As consideration of CCSA permitting me to participate in the ACTIVITIES, I hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives will not make claim against, sue, or attach the property of CCSA, any of its affiliated organizations, or any of its Elders, Trustees, employees, volunteers, or agents for injury, death, or damage resulting from the negligence or other acts, howsoever caused, by any employee, agent, or contractor of CCSA or any of its affiliated organizations as a result of my participation in the ACTIVITIES. I hereby release CCSA, its affiliated organizations, its Elders, Trustees, employees, volunteers, and agents from all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my participation in the ACTIVITIES. I further acknowledge and agree that CCSA shall not be liable for any injury, death, damage to myself resulting from any activity in which I participate which is outside of the scope of those ACTIVITIES that are sponsored and sanctioned by CCSA.

Authorization for Medical Treatment
In the event I am not conscious in an emergency, I hereby authorize the physician and/or dentist selected by CCSA to hospitalize, secure proper medical and/or dental treatment and/or order an injection, anesthesia, or surgery for me as deemed necessary. I also authorize CCSA to administer medical aid as required for illness or injury under a physician's orders.

If I should require medical attention, my medical insurance carrier will be billed for medical charges in case of illness or injury while at the activity/trip.

Photo Release
I give permission for me to be photographed and/or videotaped for future promotional materials including web site postings. I do so without expectation of compensation and with the understanding that these photographs and video images will be used exclusively by CCSA for its publications, web site, and publicity purposes.

Potential Claims Not Covered By This Release
I understand that, pursuant to California law, by executing this RELEASE FROM LIABILITY, I am not waiving my rights with regard to any potential claims that may arise from the fraudulent, intentional, and/or criminal conduct of CCSA, any of its affiliated organizations, or any of its Elders, Trustees, employees, volunteers, or agents.

Knowing and Voluntary Execution
I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and CCSA and sign it of my own free will.

It is also acknowledged that if I have to return home early for any reason it will be at my own expense.