2017 Fall Festival Registration

Child Name *
Child Name
Child Name
Child Name
Child Name
Child Name
Relationship *
Name *
Name
Phone *
Phone
Address *
Address
Checkbox *
By this waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property associated with the 2017 Fall Festival event organized by Victory Life Baptist Church. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Victory Life for injury, loss, or damage arising out of my or my family's use of or presence upon the facilities of Victory Life, whether caused by the fault of myself, my family, Victory Life or other third parties. I consent to the participation of the listed children in the 2017 Fall Festival, and agree on behalf of the above minor(s) to all the terms and conditions of this agreement. By signing this release of liability, I represent that I have legal authority over the above minor(s). I understand and confirm that by signing this WAIVER AND RELEASE I have given up considerable future legal rights. I have signed this agreement freely, voluntarily and under no duress. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law. I am 18 years of age or older and mentally competent to enter into this waiver.