In consideration of the acceptance given the undersigned by BACK2BACK MINISTRIES, INC. for participation in the Mexico Trip from __________to__________, the undersigned, who hereby represents that he/she is the parent and/or guardian of the participant, possessing the legal authority to consent to the participant's participation in the above listed activity or receipt of which is hereby acknowledged, does by these presents hereby forever release and discharge BACK2BACK MINISTRIES, INC., their employers, employees, principals, agents, insurers, successors, and assigns, for and from any and all liability, claims, demands, controversies, damages, actions, and causes of action arising out of, or resulting form the participant's participation in the above described activity or event, including but not limited to all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses arising out of, directly or indirectly, the aforementioned activity or event.
The undersigned acknowledges the risks inherent in the aforesaid activity of event and hereby voluntarily and knowingly assumes those risks on behalf of the participant and acknowledges that, in releasing and waiving all claims, demands, actions, or causes of action heretofore mentioned, that undersigned does so on behalf of the participant, himself or herself, his, her, or the participant's heirs, executors, administrators, successors, and assigns.
The undersigned represents that he or she fully understands the intent, meaning, and import of this agreement and has read the same prior to signing.
The undersigned, by signing this agreement, authorizes the aforementioned parties to provide or furnish any necessary transportation, food, or lodging associated with this activity or event. Further, the undersigned does hereby acknowledge his or her, or the participant's status and capacity of that of a licensee only, with respect to any real property used or occupied in conjunction with the aforementioned activity or event and does also hereby release and discharge owner and occupier of said real property from any and all liability, claims, demands, controversies, damages, actions, and causes of action arising out of the use or occupation of said real property.
The undersigned further hereby agrees to indemnify and save harmless the aforementioned parties, their employers, employees, principals, agents, insurers, successors, and assigns from any liability incurred by said parties resulting from the negligent, willful, wanton, or intentional acts of the undersigned or the participant.
The undersigned hereby acknowledges the receipt of rules and regulations promulgated and distributed by the parties and hereby agrees on behalf of the participant, to abide by the same and further agrees, on behalf of the participant, to adhere to the directions of those in authority and leadership for the activity or event.
PARTICIPANT (Please Print) PARENT OR GUARDIAN