Florida Mission Center

        Release & Waiver of Liability-
               Higher Risk Activities
 

      I certify that I have decided to participate in a ___________________________________________with full knowledge that this is a dangerous activity and I willingly assume all risks. I declare and attest that I am willing to take this risk in order to participate in this event.

      In consideration of this right to participate in this __________________________________________, I waive any and all claims for myself and my heirs or anyone else claiming on my behalf, against Community of Christ, its heirs, assigns, or employees, because of injury or illness which may result from my participation in this activity. By this agreement, I agree to refrain from instituting or aiding in any claim or demand for damages, expenses, or compensation against and indemnify and hold harmless the Community of Christ, its heirs, assigns, or employees in connection with my attendance at and participation in this activity.

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Signature

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Name (print)

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Date signed

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Date of Birth (if under the age 18, parent or guardian must consent)

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Signature of Parent or Guardian

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Name (print)

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Date signed