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General Participation & Release Form
for 2025
Your name
*
Last name
Email address
*
PARTICIPANT'S INFORMATION
Emergency Contact's Name
*
Emergency Contact's Phone Number
*
Household members
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Assumption of Risk
I, the undersigned participant (and parent/guardian if applicable), acknowledge and understand that voluntary participation in Wesley United Methodist Church activities involves inherent risks of injury, illness, and/or death. These risks may arise from my own actions or from the actions or negligence of others. By choosing to participate, I voluntarily assume all risks, consequences, and liability associated with my participation.
I have read and agree to the Assumption of Risk.
*
Agree
Release of Liability
I (and parent/guardian, if applicable) hereby release, forever discharge, and hold harmless Wesley United Methodist Church (Marco Island, FL), the Florida Annual Conference of the United Methodist Church, and their officers, directors, employees, agents, and volunteers from any and all actions, claims, costs, or expenses related to participation in any Wesley-sponsored activity. I understand this is a full and complete release of all injuries, damages, or losses which may be sustained as a result of my participation.
I have read and agree to the Release of Liability.
*
Medical Authorization:
In case of a medical emergency, I authorize qualified personnel to administer necessary treatment. I understand every reasonable effort will be made to contact my emergency contact before treatment is given.
I have read and agree to the Medical Authorization
*
Photo & Media Release:
I hereby consent to and authorize Wesley United Methodist Church to reproduce, publish, livestream, and use photographs, video, or likenesses of myself (or my child/ward) for ministry, educational, or promotional purposes. I understand that no compensation will be given and names will not be used without additional permission.
I have read and agree to the Photo and Media Release.
*
Signature & Acknowledgment:
By signing below, I affirm that I have read and understand this release, and I consent to participation in Wesley United Methodist Church activities under these terms.
Participant/Parent/Guardian Signature
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Date Signed
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