Back to School Cabin Retreat

JOIN US SEPTEMBER 13-15, 2019!

Please fill out the waiver form below before the retreat if your student plans on participating in any water sports. Parent or legal guardian of youth participating in water sports* during the "Back to School Cabin Retreat" must read and sign this document. Your signature below indicates that you understand and agree to the terms of this waiver. If this has not been received at time of the "Back to School Cabin Retreat," your son/daughter will not be allowed to participate in the water sports.

*Water sport is defined as all activities having to do with Merrymeeting Lake, swimming, boating, or being towed behind a boat.


I, the undersigned participant (if 18 years of age or older) or guardian of a participant (if participant is under 18 years of age), desire that participant use the equipment (canoe, kayaks, boat, jet-ski) and participate in the strenuous physical activities(tubing, knee-boarding, wakeboarding, wake-surfing, swimming, snorkeling) offered by KGS Youth Ministries. I acknowledge that execution of this Waiver of Liability is a condition to participation in the use of the Equipment and Activities. In consideration for use of the Equipment and participation in the Activities, I (all references to I, me, myself or my, refer to me and to the minor child if I am signing as guardian to a minor child) hereby acknowledge, agree, promise and covenant with KGS Youth Ministries, on behalf of myself, my heirs, assigns, personal representatives and estate as follows:

I acknowledge that participant is using such Equipment and participating in such Activities on participant’s own desire and where applicable, with participant’s guardian’s approval (if applicable).

I understand that there are inherent risks of injury in using Equipment and participating in Activities such as used and offered by KGS Youth Ministries including but not limited to, falls, collisions, cuts, bruises, sprains or strains, with resulting damage to bones, joints, ligaments, muscles or other body parts. In some cases participants may suffer certain other risks which could include abnormal blood pressure, fainting, disorders of heart rhythm, stroke and in certain instances heart attack, brain damage, drowning or other causes of distress or even death.

I agree that I will promptly report any discomfort or signs indicating abnormality or distress and stop any activity that is causing discomfort or distress.

I hereby affirm that participant is in good physical condition and does not suffer from any disability or other limitation that would prevent or limit use of the Equipment or participation in Activities offered by KGS Youth Ministries.

RELEASE: Understanding the above, to the fullest extent permitted by law, I, on behalf of myself, my heirs, assigns, personal representatives and estate, voluntarily covenant not to sue and release, waive, discharge and hold harmless KGS Youth Ministries and each of its employees, leaders, volunteers, sponsor family and property owners ("Released Parties") for any liability, claims, demands, actions or rights of action for any death, injury, illness, disease, physical or mental damage, property damage or loss or any other harm suffered by me or any of my property during, as a consequence of or in any way related to using the Equipment and/or participating in the Activities offered by KGS Youth Ministries including, but not limited to, any injury or harm suffered as a result of negligence or acts or omissions (either pre-injury or post-injury) of any of the Released Parties or any defect in or damage to any of the Equipment, property or facilities of or supplied by KGS Youth Ministries.

In signing this document, I recognize that if anyone is hurt or dies, or property is damaged while I am using the equipment or participating in the activities, I will have no right to file a lawsuit or make a claim against any of the released parties even if any of the released parties negligently caused the bodily injury or property damage.

INDEMNIFICATION: I agree to hold harmless and to indemnify each of the released parties from all liability, claims, demands, actions or rights or action, damages, defense costs, including attorney’s fees, or from any other costs incurred in connection with claims for bodily injury or property damage which I may negligently or intentionally cause to any property or to other parties in the course of my use of the Equipment or participation in the Activities.

I have carefully read and fully understand the foregoing. I have had an opportunity to ask any questions about the Equipment used and Activities offered by KGS Youth Ministries and the meaning of this waiver. All of such questions have been answered. I agree to all of the foregoing with the intent to be legally bound on behalf of myself, the participant (if signed by a guardian), and the spouse or other relatives of myself and/or participant, if any, and to the extent that I am able to do so, any heirs, executors, administrators and assigns. It is intended that if any portion hereof is held invalid, the remainder shall remain in full force and effect.

Cabin Retreat Waiver