Interest Form Entry

Personal Information

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Code of Conduct:


Mission Hills Church
Sports + Rec Waiver and Release from Liability

In exchange for participating in Sports Leagues organized by Mission Hills Church, I agree to the following:

I recognize that there are certain inherent risks associated with participation in sports, and I assume full responsibility for person injury and further release and discharge Mission Hills Church and its representatives for any injury, loss, or damage arising out of my participation, whether caused by my own fault or other third parties.

I agree to indemnify and defend Mission Hills Church and its representatives against all claims, causes of action, damages, judgements, costs or expenses, including attorney fees and other litigation costs, which may arise from my participation.

I further give my permission for the use of any photo or likeness of myself to be used by Mission Hills Church for their use in promotional materials.

In the event that I am not able to act on my own behalf, I hereby authorize any qualified or licensed physician, emergency medical technician, hospital or other medical or health care facility to treat myself herein for the purpose of attempting to treat or relieve any injury received. I authorize any such Medical Provider to perform all procedures deemed medically advisable in attempting to treat or relieve any such injuries. I consent to the administration of anesthesia as deemed advisable. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself. I further agree to pay or have paid by others all charges for the dental, medical, or hospital care or treatment.