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Creek Kids Summer Camp 2025 Volunteers on Saturday, June 7, 2025 @ 10:00 AM

WAIVER INFORMATION
*

CLEAR CREEK COMMUNITY CHURCH

RELEASE AND WAIVER OF LIABILITY FOR CREEK KIDS CAMP 2025:

This Release and Waiver of Liability, executed today, for Creek Kids Camp 2025 in favor of Clear Creek Community Church (the Church), its Board, Board members, insurers, affiliates, elders, officers, members, attenders, employees, volunteers, and family members (hereinafter collectively referred to as “CCCC”) is legally binding.

I, the participant OR parent/natural/legal guardian of the below named, understand that I or my child (minor) desire to attend and participate in activities on June 7-June 11, 2025 at Forest Glen, 34 Forest Glen Road, Huntsville, TX 77340 for Creek Kids Camp 2024.  Further, I understand and acknowledge that serious disabilities, illness, death, accidents, and injuries can occur from my and/or my child’s attendance at Creek Kids Camp 2025.  I also understand and acknowledge that participating in activities at Creek Kids Camp 2025 may expose me and/or my child to conditions, individuals, equipment, or events, which have the potential to cause death, illness, serious injury, and disability.

I KNOWINGLY AND VOLUNTARILY RELEASE, INDEMNIFY, HOLD HARMLESS AND DISCHARGE CCCC FROM ANY AND ALL CLAIMS ARISING FROM OR IN ANY WAY CONNECTED WITH MY AND/OR MY CHILD’S ATTENDANCE AT CREEK KIDS CAMP 2025 AND/OR PARTICIPATION IN ACTIVITIES ASSOCIATED WITH CREEK KIDS CAMP 2025, INCLUDING BUT NOT LIMITED TO TRAVEL TO AND FROM CREEK KIDS CAMP 2025, WHENEVER OR HOWEVER THEY OCCUR, REGARDLESS OF WHETHER SUCH INJURIES, DEATH AND/OR DAMAGES ARE CAUSED BY THE SOLE NEGLIGENCE, JOINT NEGLIGENCE OR GROSS NEGLIGENCE OF CCCC.

I AGREE TO AND SHALL RELEASE, INDEMNIFY AND HOLD HARMLESS CCCC FROM ANY AND ALL CLAIMS, LOSSES, DAMAGES, CAUSES OF ACTION, SUITS, AND LIABILITY OF EVERY KIND, INCLUDING ALL EXPENSES OF LITIGATION, COURT COSTS, AND ATTORNEYS FEES, BROUGHT BY ME AND/OR MY CHILD OR ANY OTHER ENTITY OR PERSON ON MY AND/OR MY CHILD’S BEHALF FOR INJURY TO OR DEATH OF ANY PERSON, OR DAMAGE TO ANY PROPERTY ARISING OUT OF OR IN CONNECTION WITH MY AND/OR MY CHILD’S ATTENDANCE AND/OR PARTICIPATION IN ACTIVITIES AT CREEK KIDS CAMP 2025, INCLUDING BUT NOT LIMITED TO TRAVEL TO AND FROM CREEK KIDS CAMP 2025,  REGARDLESS OF WHETHER SUCH INJURIES, DEATH OR DAMAGES ARE CAUSED BY THE SOLE NEGLIGENCE, JOINT NEGLIGENCE, OR GROSS NEGLIGENCE OF CCCC. 

I HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS CCCC FROM LIABILITY FROM ANY AND ALL CLAIMS, CAUSES OF ACTION, AND LIABILITY RESULTING FROM MY AND/OR MY CHILD’S CONTRACTION OF AN INFECTIOUS DISEASE, INCLUDING BUT NOT LIMITED TO COVID-19 OR ANY VARIANT THEREOF AND ANY INJURIES, DEATH AND/OR DAMAGES THAT MAY RESULT FROM SAME REGARDLESS OF WHETHER SUCH INJURIES, DEATH AND/OR DAMAGES ARE CAUSED BY THE SOLE NEGLIGENCE, JOINT NEGLIGENCE OR GROSS NEGLIGENCE OF CCCC. I FURTHER AGREE NOT TO MAKE A CLAIM, DEMAND, OR FILE ANY TYPE OF LEGAL ACTION AGAINST CCCC RELATED TO MY AND/OR MY CHILD’S ATTENDANCE AND/OR PARTICIPATION IN ACTIVITIES ASSOCIATED WITH CREEK KIDS CAMP 2025, INCLUDING BUT NOT LIMITED TO TRAVEL TO AND FROM CREEK KIDS CAMP 2025, REGARDLESS OF WHETHER SAME RESULTS IN DEATH, ILLNESS, DISEASE, SERIOUS INJURY AND/OR DISABILITY.

THESE PROVISIONS ARE MEANT TO COMPLY WITH THE EXPRESS NEGLIGENCE RULE. I ACKNOWLEDGE THAT THESE PROVISIONS ARE BOLD AND CONSPICUOUS.  

I authorize CCCC to make arrangements for or give any medical attention to me and/or my child as CCCC deems necessary under the circumstances, at the sole discretion of CCCC. I also give permission to any medical care providers summoned by CCCC, including every doctor or other medical professional, to hospitalize me and/or my child and/or secure such other medical treatment as CCCC and/or the applicable medical professionals deem appropriate. I further understand that emergency medical treatment may be difficult to obtain, and in some instances appropriate treatment may be delayed because Camp is located in a country setting miles away from an incorporated town and/or hospital. I release, waive, indemnify and hold harmless CCCC from any harm that is occasioned me and/or my child due to any delay in treatment of a medical condition, whether known or unknown.

I further give my permission and consent to CCCC to use any photograph or video taken of me and/or my child while at CCCC for any purpose. I also give my permission for CCCC to use any interview of me and/or my child, which is reduced to writing or kept in an audio or video recording, using whatever platform CCCC deems appropriate. Such photographs, videos and/or audio recordings may be published by CCCC for the purpose of illustrating CCCC, reporting on CCCC activities or for the purpose of promoting and advertising CCCC. My permission extends to CCCC to use photographs, videos or audio recordings of me and/or my child however CCCC sees fit in every kind of media, including, but not limited to, print media, broadcast media, and on the internet, social media, including but not limited to Facebook, Twitter and any other website-based platform that is used by CCCC to report on CCCC to the general public, and/or for internal purposes, including training. I assign full copyright authority to CCCC for photographs, videos or audio recordings of me and/or my child and claim no interest in the reproduction of these media resources either wholly or in part. I agree that photographs, videos and/or audio recordings can be used separately, or together, whole or in part, in any medium, at the sole discretion of CCCC.

I agree that if any portion of this Agreement is determined to be invalid, the remainder of the Agreement shall continue in full force and legal effect.  This release, waiver, indemnity and hold harmless agreement is the entire agreement by and between the parties hereto and the terms of same are contractual and not merely a recital.

I, Individually and on behalf of my minor child, knowingly and voluntarily agree to the above release, waiver, indemnity and hold harmless agreement.

*Does the attendee have medical insurance?:
*MEDICAL RELEASE:

The participant DOES have personal medical insurance. I understand that Clear Creek Community Church (the church) is not responsible for providing, nor will it provide, the participant medical insurance for the participant’s involvement in CREEK KIDS SUMMER CAMP 2025.

Further, I understand that the participant's health care is the responsibility of the participant/parent or legal guardian and I will not hold the church responsible to pay for any of the health care costs incurred for the participant’s involvement in CREEK KIDS SUMMER CAMP 2025. 

As the parent/legal guardian of a participant, I agree to be available during the entire CREEK KIDS SUMMER CAMP 2025 duration to receive a phone call or text message in case of a medical situation. I understand my failure to answer a phone call of immediately respond to a text message related to CREEK KIDS CAMP 2025 could have negative consequences for which I will not hold the church responsible. 

I have read and agree with the RELEASE AND WAIVER OF LIABILITY FOR CREEK KIDS SUMMER CAMP 2025. 
*MEDICAL RELEASE:

The participant DOES NOT have personal medical insurance. I understand that Clear Creek Community Church (the church) is not responsible for providing, nor will it provide, the participant medical insurance for the participant’s involvement in CREEK KIDS SUMMER CAMP 2025.

Further, I understand that the participant's health care is the responsibility of the participant/parent or legal guardian and I will not hold the church responsible to pay for any of the health care costs incurred for the participant’s involvement in CREEK KIDS SUMMER CAMP 2025. 

As the parent/legal guardian of a participant, I agree to be available during the entire CREEK KIDS SUMMER CAMP 2025 duration to receive a phone call or text message in case of a medical situation. I understand my failure to answer a phone call of immediately respond to a text message related to CREEK KIDS CAMP 2025 could have negative consequences for which I will not hold the church responsible. 

I have read and agree with the RELEASE AND WAIVER OF LIABILITY FOR CREEK KIDS SUMMER CAMP 2025. 
*Please type the Full Legal Name of the Participant agreeing to the Waiver.
*For verification purposes, please type the Participant's Driver License number.
VOLUNTEER INFORMATION
*Gender:
*Campus You Attend:
*T-shirt Size:
*Would you like mini-muffins for breakfast on Wednesday morning?:
EMERGENCY CONTACT
*Emergency Contact Name:
*Emergency Contact's Phone (XXX-XXX-XXXX)
*Emergency contact relationship to volunteer:
MEDICAL INFORMATION
*List any present medical or psychological conditions, including allergies (food, meds, insect etc) that we should be aware of? (Type n/a if none.)
*Please list all current medications (asthma, allergies, etc.). (Type n/a if none.)

Central Office:

999 FM 270, League City, TX 77573 | 281.338.5433