In consideration of the acceptance given the undersigned by GRACE CHAPEL and Luke5Adventures, for participation in the hike or trek, the undersigned, for good and
valuable consideration heretofore mentioned, the receipt of which is hereby
acknowledged, does by these presents hereby forever release and discharge GRACE
CHAPEL and/or Luke5Adventures, 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 from
the undersigned’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 or event
and hereby voluntarily and knowingly assumes those risks and acknowledges that, in
releasing and waiving all claims, demands, actions, or causes of action heretofore
mentioned, that undersigned does so on behalf of himself or herself, his or her 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, participant does hereby acknowledge his or her 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
for 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.
The undersigned hereby acknowledges the receipt of rules and regulations
promulgated and distributed by the parties and hereby agrees to abide by the same and
further agrees to adhere to the directions of those in authority and leadership for the activity or event.
I ________________________________, or as the parent/gardian of ______________________________ hereby give my consent to be photographed and for my image to be used in print and/or social media by Grace Chapel dba Luke5Adventures. I understand that, if in the future, I want to revoke this permission, that I must make that request in writing to the Director of Luke5Adventures