FOCUS North America Release & Medical Consent
I wish to participate in a program (herein the “Activity”) sponsored by FOCUS North America, a nonprofit religious corporation (herein FOCUS NA).
FOCUS NA and the undersigned agree that the Activity poses certain risks, including but not limited to travel by both public and private cars, vans, busses, trains or airlines, handling lots of tools and equipment in connection with food and clothing distribution programs and soup kitchens, possible exposure to sick patients in retirement homes and care facilities, exposure to prisoners serving time in jail or correctional facilities, and risks inherently present in inner city locations which have conditions which may differ significantly from those experienced in the Volunteer’s regular home environment. Exposure to these conditions, and the opportunity to learn about them firsthand, of course, is one of the most important parts of the Christian outreach experience offered by the Activity.
For and in consideration of FOCUS NA allowing the Volunteer to participate in the Activity, and other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged, the undersigned, for himself or herself, for the Volunteer and the Volunteer’s personal representatives, assigns, heirs, distributees, guardians and next of kin (herein the “Releasors”), release, waive, discharge and covenant not to sue the FOCUS NA and its Board Members, local center directors, national officers, employees and agents (herein the “Releasees”), from all liability to the Releasors, on account of injury to the Volunteer or the death of the Volunteer or injury to the property of the Volunteer, whether caused by the negligence of Releasees or otherwise, while the Volunteer is participating in the Activity.
The undersigned has had the opportunity to ask questions and investigate the risks and other hazards that may be involved in the Activity and is willing to participate in the Activity based on that investigation and with knowledge of those risks. The undersigned voluntarily assumes the risks of loss, damage, or injury that may be sustained while participating in the Activity.
The undersigned warrants that he or she has fully read and understands this Liability Release Agreement and voluntarily signs the same, and that no oral representations, statements or inducements apart from the foregoing written agreement have been made to the undersigned.
I know that running or walking in a road race is a potentially dangerous activity. I should not enter and run/walk unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to sagely complete the run. I assume all risks associated with running or walking in this event including, but not limited to contact with other participants, the effects of the weather, including high heat and/or humidity, traffic, and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your accepting my entry, I form myself and anyone on my behalf: waive and release FOCUS North America, the walk and run committee, the city of San Francisco, and all race sponsors, supporters and officials, their representatives and successors from all claims of liabilities of any kind arising out of this event for any legitimate purpose.
Having read this waiver and knowing these facts, and in consideration of your accepting my entry, I form myself and anyone on my behalf: waive and release FOCUS North America, the walk and run committee, the city of San Francisco, and all race sponsors, supporters and officials, their representatives and successors from all claims of liabilities of any kind arising out of this event for any legitimate purpose.
Caution: Read Before Signing
(Parent/Guardian needs to sign if volunteer under 18)