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Love-N-Change can give you a scholarship up to 50%. Please let us know how much would you like to have it and your reasons. Once you submission is approved we will send you a link for further payments.
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
Please read carefully before signing.
In consideration of participating in the activities at Igreja Brasileira da Bay Area (IBBA) - Bridge Ministry / Love-N- Change / The Invisible Jiu-Jitsu LLC / Kola Ajose BJJ locations I represent that I understand the nature of the activities and that I am qualified, in good health, an in proper physical condition to participate in such activities. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activities.
I fully understand that the activities at Igreja Brasileira da Bay Area (IBBA) - Bridge Ministry / Love-N- Change / The Invisible Jiu-Jitsu LLC / Kola Ajose BJJ locations involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the activities, the conditions in which the activities take place, or the negligence of the “releasees” named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost and damages I incur as a result of my participation in the activities.
I hereby release, discharge, and covenant not to sue Igreja Brasileira da Bay Area (IBBA) - Bridge Ministry / Love-N- Change / The Invisible Jiu-Jitsu LLC / Kola Ajose BJJ, it's respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owner and lessors of premises on which the activities take place, (each considered on the “RELEASEES” herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur as the result of such claim.
I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION
OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed if freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
Authorization to Participate in Activities Sponsored by
Brazilian Church of the Bay Area and
Authorization to Consent to Treatment in the Event of Accident or Injury
I (we) (Parent) (Guardian) of the student, give permission for the above-named person to participate in any of the activities or trips of the above named organization. In the event that my son or daughter should in any way incur or suffer injury, harm, damage, or loss of any sort in connection with such participation, I assume full responsibility for such injury, harm, damage or loss and release and absolve from any and all liability the above-named organization and the adults who supervise and chaperone the activities and trips.
I (We) do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of, any physician and surgeon licensed under provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at office of said physician or at said hospital.
It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power on the part of the aforesaid agents to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician in the exercise of his best judgment may deem advisable. This authorization is given pursuant to the provisions of section 25.8 of the Civil Code of California. This authorization shall remain effective until and unless revoked in writing delivered to said agents.
Media Release: By signing this form you will be giving the above named organizations permission to photograph and video tape your son or daughter for the sole purpose of in-house celebration and promotion of the Students Ministry.
