Release and Waiver of Liability – I AM Woodland Acres Mural Project (Adult)
This Release and Waiver of Liability (the “Release”) is executed on this ______ day of
_________________, 2019 by __________________________ (“Participant”) in favor of
George Davis Ministries, Inc., a Florida non-profit corporation, Impact Church of Jacksonville,
Inc., a Florida non-profit corporation, the City of Jacksonville, The Arts Corner, and Revitalize
Arlington, Inc., a Florida non-profit corporation, their respective trustees, directors, officers,
employees, and agents (collectively, “Facilitators”).
The Participant desires to be involved in the Service event (“Event”) and engage in the activities
related to that event (“Activities”). The Participant understands that the Activities may include
indoor and outdoor summer activities.
The Participant freely, voluntarily, and without duress executes this Release and agrees to the
RELEASE AND WAIVER. Participant does hereby release and forever discharge and hold
harmless the Facilitators from any and all liability, claims, and demands of whatever kind or
nature, either in law or in equity, which arise now or in the future from Participant’s
participation in the Event and/or its Activities.
Participant understands that this Release discharges Facilitators from any liability or
claim that the Participant may have against Facilitators with respect to any bodily injury,
personal injury, illness, death, or property damage that may result from Participant’s Activities,
whether caused by the negligence of Facilitators or its trustees, directors, officers employees,
or agents or otherwise. Participant also understands that Facilitators do not assume any
responsibility for or obligation to provide financial assistance or other assistance, including but
not limited to medical, health, or disability insurance in the event of injury or illness.
MEDICAL TREATMENT. Participant hereby authorizes Facilitators to obtain and consents
to necessary medical care of the Participant for injury, illness, and/or distress arising during the
Event. Participant releases and forever discharges Facilitators from any claim whatsoever
which arises or may hereafter arise from any first aid, treatment, or service rendered in
connection with the Participant’s Activities or with the decision by any representative or agent
of Facilitators to exercise the power to consent to medical treatment of the Participant.
ASSUMPTION OF THE RISK. The Participant understands that the Activities include work
that may be physically strenuous.
Participant hereby expressly and specifically assumes the risk of injury or harm in the
Activities and releases Facilitators from all liability for injury, illness, death, or property damage
resulting from the Activities.
INSURANCE. The Participant understands that, except as otherwise agreed to by the
Facilitators in writing, Facilitators do not carry or maintain health, medical, or disability
insurance coverage for any Participant. Each Participant is expected and encouraged to obtain
his or her own medical or health insurance coverage.
RECORDING RELEASE. Participant does hereby grant and convey to Facilitators all right,
title, and interest in any and all photographic images and video or audio recordings made by
Facilitators during the Participant’s Activities, including, but not limited to, any royalties,
proceeds, or other benefits derived from such images and/or recordings.
APPLICABLE LAWS. Participant expressly agrees that this Release will be governed by
and interpreted in accordance with the laws of the State of Florida, and is intended to be as
broad and inclusive as permitted by those laws. Participant agrees that in the event that any
clause or provision of this Release shall be held to be invalid by any court of competent
jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining
provisions of this Release which shall continue to be enforceable.
In witness whereof, Participant has executed this Release as of the day and year first above
Signature of Participant: ______________________________________ Date: _____________
Name of Participant: __________________________________ Date of Birth: ____________
In case of emergency:
________________________________ ________________________ ____________
Emergency Contact Name Emergency Contact Phone No. Relationship
PDF copy of photo release and waiver for download