AGREEMENT FOR ACTIVITY PARTICIPATION (INCLUDING WAIVERS AND RELEASES OF POTENTIAL CLAIMS, AND STATEMENT OF OTHER OBLIGATIONS) All sections of this Agreement must be completed, with the signed original delivered to the School Office, before a Student...Activity Participation Agreement • December 13th, 2023
In Consideration for the Student’s ability to participate in a Student Activity, Student Club, and/or a Special Class or Program (including after-school programs or classes involving special risks of harm or injury) listed above (the “Activity”), including any try out or process used to select members to join or participate in the listed Activity, or attendance or participation in any Activity meeting, class, competition, show, event, or presentation, including travel to and from any meeting, class, competition, show, event, or presentation (“Activities”), the Student and the Parent or Legal Guardian (“Adult”) signing this Agreement agree as follows:
AGREEMENT FOR ACTIVITY PARTICIPATIONActivity Participation Agreement • September 13th, 2022
In Consideration for the Student’s ability to participate in a Student Activity, Student Club, and/or a Special Class or Program (including after-school programs or classes involving special risks of harm or injury) listed above (the “Activity”), including any try out or process used to select members to join or participate in the listed Activity, or attendance or participation in any Activity meeting, class, competition, show, event, or presentation, including travel to and from any meeting, class, competition, show, event, or presentation (“Activities”), the Student and the Parent or Legal Guardian (“Adult”) signing this Agreement agree as follows:
ACTIVITY PARTICIPATION AGREEMENTActivity Participation Agreement • June 5th, 2024
In consideration of Common Ground Church's agreement to allow the Participant(s) identified below to participate in the Activity, the receipt and sufficiency of which consideration is hereby acknowledged, on behalf of themselves and the Minor Participant(s) identified below, and on behalf of each of their heirs, executors, administrators, successors, assigns, and personal representatives, the Adult Parent/Legal Guardian(s) identified below agree as follows:
UTAH VALLEY UNIVERSITY ACTIVITY PARTICIPATION AGREEMENT FOR MINORSActivity Participation Agreement • February 15th, 2022 • Utah
This Activity Participation Agreement (the “Agreement”) is entered into as of the last signature date below, by and between Utah Valley University, a body politic and corporate of the State of Utah (“UVU”), and Guardian.
ACTIVITY PARTICIPATION AGREEMENT FOR MINORSActivity Participation Agreement • November 13th, 2023 • Utah
This Activity Participation Agreement (the “Agreement”) is entered into as of the last signature date below, by and between Utah Valley University, a body politic and corporate of the State of Utah (“UVU”), and Guardian.
UTAH VALLEY UNIVERSITY ACTIVITY PARTICIPATION AGREEMENTActivity Participation Agreement • September 8th, 2021 • Utah
This Activity Participation Agreement (the “Agreement”) is entered into as of the last signature date below, by and between Utah Valley University, a body politic and corporate of the State of Utah (“UVU”), and Participant.
Heirborn Overnighter Activity Participation Agreement 2022Activity Participation Agreement • January 26th, 2022
Description of activity: Heirborn Overnighter- travel to and from Ruidoso, activities include Movie Theatre, visiting a creek/hiking, Funtrackers, swimming, games and other misc. activities.
UTAH VALLEY UNIVERSITY ACTIVITY PARTICIPATION AGREEMENTActivity Participation Agreement • June 28th, 2018 • Utah
This Activity Participation Agreement (the “Agreement”) is entered into as of the last signature date below, by and between Utah Valley University, a body politic and corporate of the State of Utah (“UVU”), and Participant.
Activity Participation Agreement Activity InformationActivity Participation Agreement • August 27th, 2020
Check any of the following that cause you problems and explain: Asthma____ Sinusitis ____ Bronchitis____ Kidney Trouble____ Heart Trouble____ Diabetes ____ Dizziness ____ Stomach Upset____ Hay Fever____ Seizures____
Mountain2Mission Activity Participation AgreementActivity Participation Agreement • April 15th, 2020
Activity Coordinator: Scott Totten Phone: (253) 848-2028 Description of activity: Middle School Summer Camp/Mission Trip (for current 6th, 7th, 8th graders)
ACTIVITY PARTICIPATION AGREEMENTActivity Participation Agreement • September 7th, 2022 • Victoria
In consideration of participating in the Activity, the Participant hereby agrees to be bound by, and participate in the Activity on, the following terms.
Activity Participation AgreementActivity Participation Agreement • September 11th, 2006
Name of sponsoring organization: Address: Telephone: Name of sponsor’s coordinator: Telephone: Description of activity: Date(s) and location of activity:
Activity Participation AgreementActivity Participation Agreement • July 7th, 2016
Description of activity: Heirborn Overnighter- travel to and from Albuquerque, activities include swimming, shopping, eating at restaurants, staying in a hotel, going to the Isotopes game and going to the movies.
Blue Ridge Grace Brethren Church Vacation Bible School 2023 Activity Participation AgreementActivity Participation Agreement • January 31st, 2023
In case of medical emergency, is the Sponsor authorized to approve medical treatment? Yes No Is the Participant covered by personal/family medical insurance? Yes No
Activity Participation AgreementActivity Participation Agreement • November 22nd, 2022
Black Rock Retreat’s Challenge Ropes Course is constructed and maintained to meet the ACCT safety standards, the generally accepted national standards for ropes courses. The course is designed to minimize the risk of serious injury. However, these activities are physically and emotionally demanding and potentially dangerous. Each participant assumes the risk of injury in these activities. Black Rock Retreat’s ropes course program activities are strictly voluntary and the level of participation is up to each individual. Please consult with your primary care physician prior to attending with questions about your approved level of participation. Certain activities have age and height restrictions. The weight limit for all high ropes elements, including zipline, is 250lbs.
ContractActivity Participation Agreement • August 3rd, 2023
Name of Sponsoring Organization: Elm Street Christian Church Telephone: 618-395-8411 Address of Sponsoring Organization: 727 East Elm St., Olney, IL 62450
Activity Participation AgreementActivity Participation Agreement • September 11th, 2006
Name of sponsoring organization: Address: Telephone: Name of sponsor’s coordinator: Telephone: Description of activity: Date(s) and location of activity:
Activity Participation AgreementActivity Participation Agreement • December 6th, 2023
Description of activity: Youth winter retreat, including travelling in rental vans, two nights lodging, Bible studies, recreation, and night skiing/snowboarding.
Activity Participation AgreementActivity Participation Agreement • September 1st, 2020
Name of sponsoring organizatioMn:illersburg Assembly God Address: 2261 Shippen Dam Rd. Millersburg, PA 17061 Telephone: 717-692-3904 Description of activityA: ctivities may include sports, recreational games or van trans_p_o_r_tation Date(s) and location of activiCtyl:asses start at 7:00 PM on Wednesday evenings. Van pick up and_dro_p off
Activity Participation AgreementActivity Participation Agreement • September 1st, 2023
FIRST SPANISH ASSEMBLY OF GODActivity Participation Agreement • May 27th, 2024
Activity Participation AgreementActivity Participation Agreement • March 18th, 2019
Sponsoring Organization: Faith Assembly of God Church / Spirit Field Address: 4000 State Street, Quincy, Illinois 62305 Telephone: (217) 223-0080 Description of activity: Church Softball League
Peace Student Ministries Activity Participation AgreementActivity Participation Agreement • February 9th, 2024
Is participant authorized to receive medical treatment? _____ Yes _____ No Is guardian willing to volunteer transportation to/from Sky Zone - Arvada? _____ Yes _____ No
ACTIVITY PARTICIPATION AGREEMENTActivity Participation Agreement • November 16th, 2020 • Kansas
IN CONSIDERATION of participation in the above activities on the date and at location above (herein the “Activity”) I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns, hereby agree to and make the following contractual representations:
Activity Participation AgreementActivity Participation Agreement • June 14th, 2024
One Accord High School Lake Day Activity Participation AgreementActivity Participation Agreement • June 11th, 2019
Activity Coordinator: Jared Litke Phone: 253-848-2028 Description of activity: Spend the day at Lake Tapps– swimming, boating, playing games, eating Date(s) and location of activity: Thursday, August 8, 10 AM-4 PM. Cost is $10. Please bring a towel, sunscreen, modest swimsuit, water and cookies/chips/fruit to share. Drop off & pick up at a private park on Lake Tapps, next door to this house: 20201 Church Lake Dr, Bonney Lake, 98391.
Activity Participation AgreementActivity Participation Agreement • January 24th, 2017
Group: Youth Ministry Date(s) of Activity: See page 2 Group Leader: Jeremy McAlack Phone: 267-337-4134 Location and Details of Activity: See page 2 Staff Oversight:: Jeremy McAlack, Youth Pastor
Activity Participation Agreement – Exit 38 StudentsActivity Participation Agreement • July 14th, 2021
Physical Limitations (Asthma, diabetes, allergies, etc.), and/or special instructions (Allergic to certain meds, rare blood type, wears contact lenses, etc.):
Alfred Street Baptist ChurchActivity Participation Agreement • February 15th, 2012
In consideration for the opportunity to participate in the above activity, the Participant (or parent/guardian if participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The Participant (or parent/guardian) accepts personal financial responsibility for any injury sustained during the activity or during transportation to and from the activity. Further, the Participant (or parent/guardian) promises to indemnify, defend, and hold harmless the activity sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to hereinafter as the “Sponsor”) for any injury related directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the Sponsor or otherwise.
Activity Participation AgreementActivity Participation Agreement • March 16th, 2022
Address: 1701 Central Ave E, Hampton IA, 50441 Telephone: 641-456-4887 Name of sponsor’s coordinator: Dustin Byrnes Telephone: 763-607-0315 Description of activity: Get Air Trampoline Park, Waterloo
Cuyahoga Valley Christian Academy Activity Participation AgreementActivity Participation Agreement • October 27th, 2021
By signing below, the participant and parent/guardian acknowledge and accept the risks of physical injury associated with participation in the activity described above. Except for gross negligence on the part of Cuyahoga Valley Christian Academy (CVCA) and/or the sponsoring organization, the participant and parent/guardian accept personal financial responsibility for any bodily or personal injury sustained during the activity. Further, the participant and parent/guardian promise to hold harmless CVCA and the sponsoring organization and their respective representatives from any claim and/or injury related to the activity.
Grace Bible ChurchActivity Participation Agreement • November 15th, 2019
Name of participant: Telephone/Cell #: _ Address: City: State: Zip Code: Name of Parents/Guardians: (please print) Name of Emergency Contact: Emergency Contact Telephone # (Day): (Evening): List all allergies and/or medical conditions: _
Activity Participation AgreementActivity Participation Agreement • April 4th, 2017
ACTIVITY PARTICIPATION AGREEMENT CONSENT AND RELEASE OF LIABILITYActivity Participation Agreement • August 12th, 2020
Activity Participation AgreementActivity Participation Agreement • October 6th, 2020
Address: 901 W Brasher Rd, Roswell, NM 88203 Telephone: 575-622-7011 Name of sponsor's coordinator: Pastor Tim Aguilar Telephone: 575-317-4869 Description of activity: Winter Fest 2020
