Peachtree Road United Methodist Church - Department of Sports and Recreation

Please print, complete, and submit prior to participation.

WAIVER OF LIABILITY AND RELEASE

I recognize that there are inherent risks involved in sports and fitness activities. In consideration of the services provided, I hereby release and hold harmless, Peachtree Road United Methodist Church and its Department of Sports, Recreation and Life Enrichment, and their officers, directors, employees, and agents from any and all liability for injuries, including those resulting in death, and illnesses incurred while participating or attending any event or in any facility of Peachtree Road United Methodist Church. By signing this document, the participant or legal guardian confirms that he or she has authority to sign, has read the entire document, and has understanding that the document waives certain rights of the person signing or the participant.

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Activity

(If applicable)

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Team Name (or Team Captain's name)
 

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Participant Name (Please print)
 

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Parent Name ( if participant is under 18)

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Signature (parent, if participant is under 18)

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Date