READ THIS FORM CAREFULLY. By signing this document, you acknowledge that participation in FCA
activities involves inherent risks, including serious injury, disability, or death, even if FCA exercises reasonable
care. You voluntarily assume these risks on behalf of the All-Ability Athlete named
__________ (“the Athlete”)
and waive any right to recover from FCA or related parties for personal injury, death, or property damage
arising from the Athlete’s participation. FCA reserves the right to refuse the Athlete’s participation if this form
is not signed, and the right to remove the Athlete from participation for unsafe or disruptive behavior.
Assumption of Risk. I acknowledge that the Athlete is physically and mentally capable of participating in this
FCA activity to the best of my knowledge. I represent that the Athlete is qualified, in good health, and has no
medical or physical condition that would prevent safe participation. I understand that participation involves
inherent risks, including collisions, falls, overexertion, improper technique, contact with equipment, playing
surfaces, or other participants, fatigue, heat or cold exposure, transportation-related risks, and unknown or
unanticipated risks. I acknowledge that protective equipment may reduce but cannot eliminate risk. I also
consent to the Athlete being transported by FCA staff or volunteers to and from activities and acknowledge
that such transportation involves inherent risk which I voluntarily assume on behalf of the Athlete. On behalf
of the Athlete, I voluntarily assume all risks, whether known or unknown, including injury, illness, disability,
death, or property damage, and whether arising from the ordinary negligence of FCA, its staff, volunteers, or
others, including negligent emergency response or rescue operations.
Release of Liability. I release and discharge FCA, its leaders, employees, officers, directors, volunteers, and
agents, as well as the owners, operators, and staff of activity premises or facilities (“Releasees”), from any
claims, demands, or causes of action arising from the Athlete’s participation or presence at FCA activities,
including those caused by ordinary negligence. This release applies to my family, heirs, representatives, and
assigns. I covenant not to sue and forever release Releasees from liability. This waiver does not cover claims
for gross negligence or willful misconduct.
Indemnification and Hold Harmless. I agree to indemnify and hold harmless Releasees from all claims,
liabilities, suits, demands, and expenses, including reasonable attorneys’ fees and insurance-related costs,
arising from the Athlete’s participation in FCA activities, including claims resulting from the Athlete’s own or
FCA’s ordinary negligence.
First Aid and Emergency Medical Treatment. I consent to the Athlete receiving first aid or emergency
medical treatment, including hospitalization or surgery, if deemed necessary by FCA agents or medical
personnel. I agree to pay all associated costs. I release and hold harmless FCA and Releasees for any claims
arising from such treatment or medical services. I accept responsibility for managing the Athlete’s medical
conditions, medications, and allergies, ensuring that the Athlete follows medical or dietary instructions, and
disclosing to FCA in advance any relevant health information that may affect the Athlete’s safe participation.
Use of Image, Likeness, and Media. I understand that FCA owns all photographs, videos, and other recordings
taken of the Athlete during activities. I grant FCA and Releasees the right to use, reproduce, publish, display,
distribute, or sell the Athlete’s name, image, and likeness in any media, including digital, print, or social media,
for ministry promotion, training, publications, advertising, sale, or other purposes. I also consent to media
coverage by local news organizations and to staff, volunteers, or other participants taking photographs or
recordings, with FCA permitted to use or sell such media, distribute, display, or publish it as FCA deems
appropriate.
Entire Agreement. This waiver constitutes the complete agreement between the parties and supersedes all
prior agreements or understandings. Modifications may only be made in writing and signed by all parties.
Acknowledgment. As the caregiver entrusted the Athlete’s care, I have read, understand, and voluntarily sign
this waiver on behalf of the Athlete. I understand that by signing, the Athlete and I give up substantial rights.
