WAIVER OF LIABILITY

TIMOTHY GROUP CHALLENGE

NOTICE: By executing this document you waive certain legal rights on behalf of yourself and your family. You should read this document carefully before you sign it.

 

Only those 18 years of age or older and of legal guardianship of the participant are eligible to sign the attached waiver.

In consideration for being permitted to participate in The Timothy Group activities in Georgia, do hereby agree to waive, indemnify, and hold harmless the Timothy Group, its agents, servants, and employees from any and all claims, demands, causes of action, liability, judgments, costs and attorney’s fees arising out of, claimed on account of, or in any manner predicated upon my trip, including any claims and actions for property damage or personal injury I receive in connection with such trips. I further agree to indemnify and hold harmless the property owner and/or the Timothy Group, its agents, servants, and employees, and waive liability for any additional claims, suits, or actions for personal injury, loss of consortium, and property damage for which my heirs, executors, administrators, agents, and each of them, may hereafter acquire against the property owner and/or the Timothy Group, its agents, servants, and employees to the extent that such claims, suits, or actions derive from injury, damage, or death that occurs in connection with my trip and participation in the Timothy Group events.
Name of Participant (please print) *
Name of Participant (please print)
Participant Address *
Participant Address
Name of Parent or Legal Guardian
Name of Parent or Legal Guardian
(If participant is under age of 18)
Emergency Contact 1 *
Emergency Contact 1
Emergency Contact 1 Phone *
Emergency Contact 1 Phone
Emergency Contact 2 *
Emergency Contact 2
Emergency Contact 2 Phone *
Emergency Contact 2 Phone
Signed and executed on this date of *
Signed and executed on this date of