Grace Christian School
Assumption of Risk- Waiver, Release
And Hold Harmless Agreement
Name of Participant: ______Age: ______
D.O.B ______Telephone # ______
Address: ______
I, ______, the undersigned, affirm that I am participating voluntarily in a Fellowship of Christian Athletes (FCA) Wrestling Clinic Sept 20, 21, & 22, 2013 at Grace Christian School/Anchorage Grace Church, located at 12407 Pintail Street, Anchorage Alaska 99516 (referred to henceforth as “the activity”) as a participant I ( together with my parent or guardian, If I am under the age of eighteen or under legal disability) represent covenant and agree, on behalf of myself and my heirs, assigns, and any other person claiming, by under, or through me, as follows:
I acknowledge that participating in the above noted activity involves certain risks and liabilities (some of which I may not fully appreciate) and that injuries, death, property damage or other harm could occur to me or others. I accept and voluntarily incur all risks of any injuries, damages to any property of the Anchorage Grace Church and Grace Christian School or harm which may arise during or result from my participation in the above mentioned activity or related to or any accidents or incidents that may occur to my self or others while on the premises and or properties of the Anchorage Grace Church and Grace Christian School.
I waive all claims against Anchorage Grace Church and or Grace Christian School, its Trustees, Board Members, affiliates, employees, officers, authorized representatives, agents, or insurers (Released Parties) for any injuries, damages, losses or claims, whether known or unknown, which arise during or result from my participation in the activity. I release and forever discharge the Released Parties from all such claims.
I further agree to indemnify and hold the Released Parties harmless from all losses, liabilities, damages, costs or expenses
( including but not limited to reasonable attorneys fees and other litigation costs and expenses) incurred by any of the Released Parties recover any losses, liabilities, costs, damages, or expenses which arise during or result from my participation in the activity.
I have carefully read and reviewed this Waiver, Release and Hold Harmless Agreement. I understand it fully and I execute it voluntarily.
EXECUTED this ______day of ______, 20____
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Parent or Guardian Signature (if under 18) Parent/Guardian Printed Name (if under 18)
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Signature of Participant or Volunteer Participant/Volunteer Printed name