Waivers & Forms

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River of Life Kingdom Ministries, Inc. Registration Form

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PARTICIPANT WAIVER & HOLD HARMLESS AGREEMENT In consideration for participating in this activity which is sponsored by River of Life Kingdom Ministries, Inc. (ROLKM), herein referred to as sponsors, I hereby release, waive, discharge, and covenant not to sue, and agree to hold harmless the sponsor and their officers, servants, agents, and volunteers from any liabilities, claims, demands, or injury that may be sustained by me (and/or my minor children) while participating in any of the sponsor’s activities and while on the premises owned or leased by the sponsors. I choose to voluntarily participate in the sponsor’s activities and assume full responsibility for any loss, damage, liability or costs that may occur as a result of my participation in these activities and services. I hereby grant permission to ROLKM to use photographs and/or video taken of me (or my minor children). I also hereby grant ROLKM permission to use videos or photographs in publications, news releases, online, and in other communications related to the mission of ROLKM. My signature represents that I have read and understand this agreement and sign it voluntarily as a free act of my will.

I have read the agreement above in its entirety.

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Participation Waiver for School/Sports Physicals at “Love Your Neighbor” Block Party

Please read this document carefully before signing. It affects your legal rights.

I, the undersigned participant (or parent/legal guardian if the participant is under 18 years of age), hereby acknowledge and agree to the following terms and conditions regarding my (or my minor child's) participation in a physical or sports physical examination at the “Love Your Neighbor” Block Party hosted by River of Life Kingdom Ministries (hereinafter referred to as "the Church").

1. Voluntary Participation

I understand that my (or my minor child's) participation in this physical examination is entirely voluntary. I am participating of my own free will and am not being coerced or pressured to do so.

2. Nature of the Examination

I understand that the physical examination provided at this health fair is a general screening intended to provide basic health information and/or a sports physical clearance. It is not intended to replace comprehensive medical care, diagnosis, or treatment by a licensed physician. The examination may involve a review of medical history, blood pressure check, heart and lung auscultation, vision screening, and other basic assessments.

3. Disclosure of Medical Information

I understand that I (or my minor child) will be asked to provide medical history information relevant to the physical examination. I certify that all information provided is accurate and complete to the best of my knowledge. I understand that failure to disclose relevant medical information could affect the outcome of the examination or my (or my minor child's) health.

4. No Doctor-Patient Relationship

I understand and agree that the individuals performing the physical examinations at this health fair are volunteers or healthcare professionals generously donating their time. While they may be licensed professionals, my (or my minor child's) participation in this screening does not establish a formal doctor-patient relationship with them or with the Church. Any advice or recommendations provided are for informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment.

5. Assumption of Risk

I understand that there are inherent risks associated with any medical examination, including but not limited to, the possibility of an unforeseen medical event occurring during the examination, or the possibility that the examination may not detect all underlying health conditions. I voluntarily assume all risks associated with my (or my minor child's) participation in this physical examination.

6. Release and Waiver of Liability

In consideration of the opportunity to receive a physical or sports physical at the Community Health Fair, I, for myself, my heirs, executors, administrators, and assigns, hereby release, waive, discharge, and covenant not to sue River of Life Kingdom Ministries, its officers, directors, employees, volunteers, agents, and any healthcare professionals involved in the Block Party, from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me (or my minor child), or to any property belonging to me (or my minor child), whether caused by the negligence of the Church or otherwise, while participating in the physical examination at the Block Party.

7. Indemnification

I agree to indemnify and hold harmless River of Life Kingdom Ministries, its officers, directors, employees, volunteers, agents, and any healthcare professionals involved in the health fair, from any loss, liability, damage, or costs, including attorney fees, that they may incur due to my (or my minor child's) participation in the physical examination, whether caused by negligence or otherwise.

8. Severability

If any provision of this Waiver is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

9. Governing Law

This Waiver shall be governed by and construed in accordance with the laws of the State of Illinois, without regard to its conflict of laws principles.