True North

I hereby authorize and release Borger Carenet Pregnancy Center to reproduce, circulate, and use my/my child’s picture/video for promotion, education, fund-raising, and advertising in connection with its ministry.

I understand that my action is voluntary and in no way necessary to receive or continue to receive services from the center.

In consideration of the undersigned’s use of facilities during an event sponsored by Care Net Pregnancy Center of Borger, the undersigned individual or parent or legal guardian acknowledges and agrees to the following:

1) I fully understand that outdoor activities involve a certain level of risk. These risks may include physical injuries, psychological injuries and even the possibility of loss of life. I hereby accept the risk of my and/or my child’s participation and use of a swimming pool, lake or pond/paddleboats and other facilities of the owner, and will hold harmless the owner of and from any and all liability, actions, demands, damages, expenses, costs, claims and causes of action of any possible nature in respect of injury, death loss or damage caused as a result of or in any way relating to the use of the facilities by the undersigned or the undersigned’s child.

2) In addition, I understand that there are risks involved in outdoor activities. For and in consideration of entry onto the property as a guest, I agree to assume these risks and release the owners, their agents, servants, and employees, volunteers and independent contractors for any release and all claims of negligence and all liability of every kind and character for personal injury or death. I understand this release is binding to me, my spouse, children, parents, heirs and any other person in privity with me.

3) I further agree to indemnify and hold harmless the owner from and against any and all liability incurred as a result of or in any manner related to my and/or my child’s participation in or on the facilities.

4) I also declare that neither I nor my child, if applicable, is under the influence of any chemical substance including alcohol that may impair my or my child’s mental faculties and sound judgment, at the time of the signing of this release or at the time of my and/or my child’s use of the swimming pool and other facilities.

5) I agree that if any provision of this release is found to be unenforceable or invalid in any way, the remaining provisions will remain in force and in effect.

6) I hereby certify that my and/or my child’s use of the facilities and my signing of this waiver for myself and on my child’s behalf are completely voluntary and that I have read and understand the information contained herein.