Thanks for your support of ACC FCA by participating in our annual golf tournament.

Schedule:
- 7:30 Breakfast and sign in
- 8:00 Warmup
- 8:30 Shotgun start

Location Information

  • October 23rd 2021 from 8:30 AM to 1:00 PM EDT
  • Quaker Creek Golf Course
  • 2817 Barrett Rd, Mebane, NC, 27302 US

Registration Information

  • Per golfer, includes: golf fees, FCA gear, meal

  • Includes: golf fees, FCA gear, meal


$0.00

Primary Contact Information




Functions and Activities, Release of Liability, First Aid and Emergency Medical Treatment, Release to Use Image and Likeness

Functions and Activities

Prior to my participation in such activities, I acknowledge that there are certain risks associated with the activities,
including, by way of example, physical injury due to activity-related accidents, physical injury due to transportation related accidents, illness or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.

Functions and Activities

By signing this Permission Waiver Form, I expressly warrant that I am capable of withstanding both the
physical and mental demands of the activities discussed above. I also expressly assume all risks of participating
in the activities, whether such risks are known or unknown to me at this time. I further release the Fellowship of Christian Athletes (FCA) officers, directors, and its leaders, employees, volunteers, and agents from any claim that I may have against them as a result of injury or illness incurred during the course of participation in the activities. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover all claims that members of my family or estate, heirs, representatives, or assigns may have against this organization or its leaders, employees, volunteer, or agents.

I further agree to indemnify and hold harmless FCA and its leaders, employees, volunteers, or agents from any and all claims arising from my participation in its activities and programs, or as a result of injury or illness during such activities.

First Aid and Emergency Medical Treatment

I recognize that there may be occasions where I may be in need of first aid or emergency medical treatment as
a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of this
organization to seek and secure any needed medical attention or treatment for me including hospitalization, if in the agent’s opinion that such need arises. In doing so, I agree to pay all fees and costs arising from this action to
obtain medical treatment.

I give permission for attending physician(s) and other medical personnel to administer any needed medical
treatment, including surgery and, again, I agree to pay for the medical treatment.

Release to Use Image and Likeness

On occasion, the Fellowship of Christian Athletes (FCA) or its representatives takes photographs or makes an audio
or videotape recording of children and/or adults involved in activities. Such photographs or video records may be
used by staff and participants to remember the activities and participants.

Local news organizations may hear of our activities or events, and our organization may invite or allow them
to photograph or record our events for news reporting on special interest features. I consent to the use of any
such audio or visual record of myself to be used, distributed or displayed as agents of the organization see fit. This consent includes but is not limited to: photographs, videotape and audio recordings. Furthermore, I give permission to be interviewed by the news media, or for such photographs and other audio or visual records to be used by the news media.

In addition, such photographs and audio/visual recordings may be used in publications or advertising materials to let others know about our activities. These images may also be used by FCA or its agents to produce ministry resources for staff training, Camp or Campus Ministries, or other uses to promote the ministry of FCA. FCA may also make these materials available for sale to the public.

WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19
ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT
In consideration of being allowed to participate on behalf of Fellowship of Christian Athletes athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (insert name of sports organization) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
$0.00


Billing Information

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  • American Express
  • Discover
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