East Side Christian Home Educators, Ltd. East Side Christian Home Educators, Ltd.

East Side Christian Home Educators, Ltd.

 

Hope Waiver and Release of Liability

indicates a required answer

Click here if prefer to print document for completion.

 

1. *

User Family Last Name: 

In consideration for being allowed to utilize the facilities of Hope Evangelical Free Church (hereafter "Hope") I, the undersigned, intending to be legally bound for myself and my legal representatives or organization, successors, and assigns do hereby:

(1) acknowledge that my utilization of the Hope owned facility, depending on the activity, could expose me to a possible risk of personal injury, and I assume all risks inherent in such utilization and/or activity.

(2) release and agree to indemnify Hope, which includes any officers, elders, staff, members, and employees, from any and all liability, loss, damage, expense, or cost of any nature whatsoever from any and all claims by or against me or my organization for property damage, personal injury, and/or any other claims arising from my utilization and/or activity, including claims that are known or unknown, foreseen or unforeseen, future or contingent;

(3) agree that I shall not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit or other proceeding against Hope arising out of, relating to, or in connection with the actions, causes of action, claims, and demands hereby waived, released or discharged by me; and

(4) attest that I am of legal age to execute this form as a binding legal document in accordance with its intention, or in the alternative, attest that I am having this form co-signed by my legal parent or guardian.

(5) If any section or aspect of this document is deemed to be unenforceable, that section or aspect shall be deleted alone and the balance of the document shall remain in full force and effect.

2. *

First and Last Name of all Users

 

 

3. *

Street Address

 

4. *

City

5. *

State

6. *

Zip code

7. *

Email address

8. *

Phone Number

9. *

Date

10. *

Full Name

11. *

By typing my full name, I agree this satisfies as an electronic signature. 

If do not agree, please print form. Hope Waiver

 (1 required)
Yes No, I will print paper form.