I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH “ISRAEL UNITED IN CHRIST, INC.” (hereinafter “IUIC”) EVENTS, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. IUIC at various times will announce events for which members may voluntarily gather and participate in activities such as, including, but not limited to the following listed and/or unlisted: The Quest; High Holy Days (example: Feast of Tabernacles; Passover; New Moon, etc.…); and other gatherings at random and/or sporadic times with the purpose of communicating the true message of The Most High God as written in the King James Bible.

WHEREAS, I certify that I am physically fit, have sufficiently prepared or trained for participation in the activity attending, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity.

I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate and that it will govern my actions and responsibilities at said activity.

In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) I WAIVE, RELEASE, AND DISCHARGE THE FOLLOWING ENTITIES OR PERSONS:

(1) IUIC, INC., and or any of its Bishops, Deacons, Captains, Officers, Soldiers, Brothers, Sisters, Directors, Employees, Volunteers, Representatives, and/or Agents, and the Activity Holders, Sponsors, and Volunteers;

(2) from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity,

(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in paragraph (A)(1) from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.

I acknowledge that IUIC, INC, and or any of its Bishops, Deacons, Captains, Officers, Soldiers, Brothers, Sisters, Directors, Employees, Volunteers, Representatives, and/or Agents, are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

I acknowledge that the activity attending may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, air travel, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, violent act from individuals of the public, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.

I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns.

I understand while participating in this activity, I may photograph or videotape IUIC, Inc. personnel involved in activities. I agree that any photo, video, or film likeness I take will not be used or released by me for any purpose unless written permission is received by IUIC, INC.

The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

THIS FORM WILL BE VALID FOR 12 MONTHS FROM THE DATE EXECUTED.

(If under 18 years old, Parent or Guardian must also sign.)