Waiver and Release of Liability Form:
In consideration of being permitted to participate in Presence Church's All-Star basketball game, I hereby understand, acknowledge and agree to the following: I acknowledge that I have voluntarily chosen to participate in the All-Star basketball game, and I fully understand and acknowledge the risks this activity presents, including serious injury up to and including death.
I hereby acknowledge that by being permitted to participate in the All-Star basketball game, I am agreeing to assume any and all risk of any injury or death.
I further understand and acknowledge that certain actions that are part of playing basketball, including jumping, throwing, running and other similar actions, are inherently dangerous and may result in injury to myself or others, and that Presence Church nor the City of Perry shall not be held liable for any injuries that may result from my participation in team softball, including those caused by the negligence of other participants.
I further agree to assume responsibility for risk of theft, loss, or damage to my personal property, which may occur at any time during my participation in the All-Star basketball game.
I understand and agree as a condition of my participation in this activity, I hereby release from liability, hold harmless and indemnify the City of Perry, its elected and appointed officials, employees, agents and volunteers, and anyone acting on behalf of its elected and appointed officials, employees, agents and volunteers, for any damage, injury, or death to myself or any other persons or property, in any way connected with my participation in Presence Church's All- Star basketball game.
I have carefully read this agreement and fully understand all of its terms and conditions. I understand this release of liability has specific legal consequences which could prevent me from filing a lawsuit or making any other claim for damages in the event of my death or injury. With this knowledge, I am entering into this agreement fully and voluntarily. I agree the agreement is binding upon me, my spouse, my heirs, my children, including any guardian ad litem for the children, my assignees, and legal representatives. I acknowledge that I have read this entire Waiver and Release of Liability Form, and have been provided with all necessary information, and I agree with the terms and conditions contained herein. Presence Church does not provide insurance coverage for Leisure Services program participants for injuries occurring while participating in play or practice. Any injury claim must be filed with my own insurance.
By selecting 'I AGREE'', You acknowledge you have read the attached Waiver and Release of Liability Form, and further that you fully understand its terms. You affirm you are voluntarily participating in this program, and further acknowledge you know, understand, and appreciate the inherent risks associated with the sport of basketball. You assume full responsibility for any and all injuries or damages that may occur to you as a result of the inherent risks associated with basketball.