By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named student, and are over the age of 18. You warrant that you posses all the rights, powers, and privileges of a parent or legal guardian necessary to execute this legal instrument with binding legal effect.
As a parent or legal guardian of student, you certify and affirm that you have been completely and thoroughly informed that as a student attending Life Center Church, your child will participate in certain activities that carry with them a degree of risk and danger.
Examples of risky and dangerous activities include, but are not limited to:
· physical activities, both indoors and outdoors;
· sports, both informal and organized;
· use of recreational equipment;
· field trips, both on and off campus;
· travel by automobile;
· activities around water, including swimming and boating;
· hiking; and camping.
· Psychomotor activities, including skateboarding.
You acknowledge and understand that Life Center Church may offer other activities not listed above that present similar risks or dangers to your child.
You consent to your child’s participation in these activities. You acknowledge and understand that this PARENTAL CERTIFICATION, CONSENT AND RELEASE has the same force and effect regardless of whether the activities engaged in are free or if a fee is charged.
Further, you personally assume, on your child’s behalf, all risk in connection with said activities for any harm, injury, or damages that may befall your child as a result of your child’s participation in the activities, whether foreseen or unforeseen, and you still wish to allow your child to proceed with the activities.
You acknowledge and agree that Life Center Church in Lakewood, CA shall not be held liable in any way for any occurrence resulting directly or indirectly from these activities that results in injury, death, or any other damages to your child, you, or your family, heirs, or assigns. In consideration of your child being allowed to participate in these activities, on behalf of your child, you hereby personally assume all risk in connection with said activities, for any harm, injury, or damage that may befall your child, you, or your family, heirs, or assigns while engaged in such activities.
You understand that the terms herein are contractual and not mere recital; You have initialed this document as your own free act. It is your intentions by signing this document to exempt and release Life Center Church from all liability whatsoever for personal injury, property damage, or wrongful death caused by negligence.
You further acknowledge and agree that your initials on this PARENTAL CERTIFICATION, CONSENT AND RELEASE shall constitute a bar to any recovery by your child, you, or your family, heirs, or assigns in all suits and actions that may be instituted against Life Center Church, its agents, servants, or employees for injuries or death to your child, whether or not same resulted from the negligence of Life Center Church, its agents, servants, or employees, or due to the negligence of your child, or due to the risks ordinarily incident to your child’s participation in these activities, or due to the contributory negligence of your child.