Individual Adult Mission Waiver
2020 RC Activities, Inc.
  • - -
  • 2. NATURE AND DURATION OF ACTIVITIES

    Missionary activities at 3923 Martin Luther King Jr Blvd, New Orleans, on July 25, 2020, not excluding feeding and interacting with the poor, various manual labor pro bono projects.
  • 3. ACTIVITY SUPERVISOR(S)

    Legionaries of Christ and Mission Network qualified personnel
  • 4. TRANSPORTATION

    Not Applicable. Participants are responsible for securing their own transportation to and from activities, as the company does not provide transportation.
  • 5. REQUIREMENTS

    The participant named above is in good health and has no physical or medical limitations that would cause the activities described above to be detrimental or dangerous to the participant. Specific allergies and medical problems should be indicated in section 9 below.
  • 7. CONSENT

    The above-named participant certifies that he is above the age of majority and hereby consents to participate in the activities described above and specifically requests that he be allowed to participate in those activities.
  • 8. AUTHORIZATION

    The above named participant hereby authorizes RC Activities, Inc. to use the image and likeness of him/her in photograph or video form whether taken by or commissioned by RC Activities, Inc. in its promotional materials and for its promotional purposes associated with its nonprofit activities. This authorization shall extend to use of his/her image and likeness on website of RC Activities, Inc. or its successor in operation or affiliated organization(s) upon written consent of RC Activities, Inc. The above named participant understands that this authorization shall survive the end of his/her participation in the activities referenced on this form.
  • 9. INSURANCE

    The above named participant understands that RC Activities, Inc. does not carry any insurance relative to the activities or for any injury that may occur to him/her. The above named participant represents that he she is (a) covered by insurance through his/her own insurance carrier; or (b) that he/she is personally financially responsible for any and all medical costs incurred as a result of injury.
  • 11. EMERGENCY CONTACTS

    If, in the event of a medical or other emergency, the above named participant authorizes the activity supervisor(s) to attempt to contact emergency contacts through the alternative emergency contacts listed below.
  • Relation
  • - -
    Phone
  • Relation
  • 12. RELEASE AND INDEMNIFICATION

    I release and waive, and further agree to indemnify, hold harmless or reimburse RC Activities, Inc. and Consolidated Catholic Administrative Services, Inc., the individual members, agents, directors, officers, employees, volunteers and representatives thereof, as well as activity supervisors, from and against, any claim which I, any parent or guardian, any sibling, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, for any losses (including attorneys’ fees incurred by RC Activities, Inc. and Consolidated Catholic Administrative Services, Inc., or any of its individual employees, agents, volunteers, etc. in enforcing this indemnity provision) without limitation in time or amount, damages or injuries arising out of, during, or in connection with my participation in the activities, the travel to and there from, and the rendering of emergency medical procedures or treatment, if any. I understand that this release and indemnification shall survive the end of my participation in the activities referenced on this form and shall have no limitation in time or amount.
  • 13. ASSUMPTION OF COVID-19 RISK AND WAIVER OF LIABILITY

    I acknowledge [for myself and/or my child(ren)] the highly contagious nature of COVID-19, as well as its potential to cause infection, illness, injury, permanent disability, and death. I voluntarily accept and assume the risk that may be exposed to or infected by COVID-19 by visiting/participating/attending the above named event operated by RC Activities, Inc. further accept [for myself and/or my child(ren)] and assume the risk that such exposure or infection may result in my [my child(ren)1 personal injury, illness, permanent disability, and/or death. RC Activities, Inc. cannot prevent you [for yourself and/or your child(ren)] from becoming exposed to, contracting, or spreading COVID-19 while visiting/participating/attending the above named event It is not possible to prevent against the presence of the disease. Therefore, if you [for yourself and/or your child(ren)] choose to visit/participate/attend the above named event you [for yourself and/or your child(ren) may be exposing yourself [your child(ren)] to and/or increasing your risk of contracting or spreading COVID-19 understand that the risk of becoming exposed to or infected by COVID-19 may be increased as a result of the actions, omissions,
    and/or negligence of RC Activities, Inc., including its independent contractors, agents, vendors, guests, and employees.

    I voluntarily assume [for myself and or my child(ren)] all of the risks of COVID-19 and of COVID-19 exposure and accept sole responsibility for any harm to me [my child(ren)] (including, but not limited to, personal injury, illness, permanent disability, and death).

    In consideration of RC Activities, Inc. allowing me onto its premises/visiting /participating/attending the above named event also, on behalf of myself [my child(ren)l and my successors and representatives, waive, release, and forever discharge RC ACtivities, Inc.its agents, employees, officers, directors, contractors, customers, successors, and assigns from any and all claims and causes of action of any kind or nature which are in any way related, directly or indirectly, to COVID-19, which may have or that hereafter may accrue, including any such claims or causes of action caused in whole or in part by the negligence of RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns. [for myself and/or my child(ren)] further agree that will not bring any claim or cause of action against RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns related in any way, directly or indirectly, to COVID-19, and/or any associated personal injuries, illness, disability, or death.

    I [for myself and/or my child(ren)]further agree to indemnify, defend, and hold harmless RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns from any claims or causes of action of any kind arising from my exposure to COVID-19 as a result of visiting/participating/attending the above named event provided by RC Activities, Inc.
  • By completing and submitting this Agreement and checking the “I agree” box, you are consenting to the terms and provisions, as well entering into this Agreement in electronic form. You hereby agree that the accompanying electronic signature is valid for all purposes, as defined by law.