Social Club Waiver

Participant Release and Waiver of Liability

  1. Waiver and Release: I, the Undersigned, release and forever discharge Rhyme & Reason, and their successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my participation with Rhyme & Reason.
    1. I understand and acknowledge that this release discharges Rhyme & Reason from any liability or claim that I may have against Rhyme & Reason with respect to bodily injury, personal injury, illness, death, damage to personal property, or claims related to my participation with Rhyme & Reason.
    2. I further agree to indemnify, hold harmless, and defend Rhyme & Reason Ministry, and its officers, agents, volunteers, and employees from any and all claims resulting from injuries, damages, and losses arising out of, connected with, incidental to, or in any way associated with my participation with Rhyme & Reason.
  2. Covenant Not to Sue: In consideration for the opportunity to volunteer with Rhyme & Reason, I do hereby covenant not to sue or otherwise participate in any action against Rhyme & Reason arising out of, connected with, incidental to, or in any way associated with my participation with Rhyme & Reason.
  3. Assumption of Risk: I recognize and acknowledge that there are certain risks of physical injury in connection with activities involving youth and volunteer work. I hereby expressly assume the risk of injury or harm from my participation with Rhyme & Reason and release Rhyme & Reason from all liability for injury, illness, death, or property damage resulting from my participation with Rhyme & Reason.
  1. Indemnification: I agree to indemnify and hold Rhyme & Reason harmless against any and all liability or loss, and against any and all claims or actions caused by or sustained in connection with my participation with Rhyme & Reason. Such indemnification extends to, but is not limited to, violations of any state, federal, or local statute, or state or federal regulation. Such indemnification also expressly extends to the defense of any such action or claim, and to any attorney’s fees incurred by Rhyme & Reason in defense of such action or claim or in seeking enforcement of this indemnification obligation.
  2. I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Indiana and that this Release shall be governed by and interpreted in accordance with the laws of the State of Indiana. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.
  3. I understand that my participation in Rhyme & Reason Social Program is strictly on a volunteer basis.
  4. I understand that Rhyme & Reason may utilize a portion of my BMGO or PAC waiver budget for my participation in the Social Program.

Transportation Waiver and Release

I, the undersigned, give my consent for the person identified below to be transported by Rhyme & Reason and I will assume all liability for their participation in this activity/event and any injury that may result during transport or at the event activity. Further, by digitally signing below:

  1. I will not hold Rhyme & Reason, its officers, agents, employees, assigns or anyone acting on its behalf, responsible or liable for injury occurring to the named person in the course of such activities or such travel.
  2. I hereby accept financial responsibility for personal items lost by the person identified herein.
  3. I authorize Rhyme & Reason to transport and to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the person in the course of such activities/events or such travel, and agree to accept the cost of the transportation and/or treatment by medical personnel or facility.
  4. I accept full responsibility and hereby grant permission for participants to travel with Rhyme & Reason. Transportation Permission: I do hereby give permission for the person identified below to ride in a vehicle driven by an approved and licensed Rhyme & Reason agent.

Photo, Video, and Audio Release

I consent and authorize Rhyme & Reason Ministry, Inc. (R&R) to use and publish my likeness and/or voice in photographic or video form. I understand that these images and audio may be used for a variety of purposes and may appear on Rhyme & Reason Ministry, lnc.’s website, social media, and printed promotional material or any other media now known or to be invented.

I also understand Rhyme & Reason Ministry, Inc. or any entity authorized by R&R will use the images exclusively for Rhyme & Reason Ministry lnc.’s related purposes and not for any commercial gain. Since anyone can download an image from the Internet or make copies from printed materials, I agree that Rhyme & Reason Ministry, Inc. is not responsible for unauthorized use of the images. I am aware that I am not entitled to any compensation and that the images may appear with or without my name.

Waiver Release Form

Waiver Release Form(Required)
By entering my name in the Digital Signature Field below, I acknowledge that I have read and understand this release.
Praticipant Name(Required)
MM slash DD slash YYYY
Mailing Address(Required)
Guardian Name
Emergency Contact Name(Required)
Include medications, allergies, and other risks the care team should know about to maintain the safety of the participant
By typing your name here, you acknowledge agreement with the waiver

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You can also download the fillable PDF form.