Skate Park Waiver

Everyone who uses the Cornerstone Skate Park is required to fill this out.

Your name *

Email address *

PARTICIPANT INFORMATION

Phone number *

Address *

Birthdate *

Grade *

EMERGENCY CONTACT INFORMATION

Parent (or Guardian) Name

If under 18 years old.

Relationship to Participant

Parent (or Guardian) Phone Number

WAIVER & RELEASE OF LIABILITY

In consideration of being allowed to use the skate park facilities provided by Cornerstone Community Church, located at 34570 Monte Vista Drive, Wildomar, CA 92595, the undersigned acknowledges, appreciates, and agrees to the following:

ASSUMPTION OF RISK: I understand and acknowledge that the use of skateboards, scooters, and BMX bikes involves inherent risks, including the risk of serious injury or death. I voluntarily assume all risks associated with my participation in activities at the Cornerstone Community Church Skate Park.

HELMET REQUIREMENT: I understand that wearing a helmet is mandatory while using the skate park facilities. I agree to wear a properly fitting and securely fastened helmet at all times while engaging in activities at the skate park.

MEDICAL TREATMENT: In the event of an injury or illness, I authorize Cornerstone Community Church staff or designated personnel to administer first aid and seek emergency medical treatment if necessary. I understand that Cornerstone Community Church is not responsible for any medical expenses incurred as a result of my participation.

RELEASE OF LIABILITY: I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby release, discharge, and covenant not to sue Cornerstone Community Church, its officers, employees, volunteers, agents, and sponsors from any and all liability, claims, demands, actions, or rights of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me while participating in activities at the Cornerstone Community Church Skate Park.

PHOTOGRAPHIC RELEASE: I grant Cornerstone Community Church the right to use photographs and/or videos of me engaged in activities at the skate park for promotional purposes without compensation.

TRUTHFUL STATEMENTS: I understand that if I am a minor and lie about parental/guardian consent and forge their permission by signing on their behalf that I will be banned from the skate park for a minimum of 3 months.

RESTRICTIONS: We do not allow alcohol, cigarettes, vaping, illegal drugs, weapons, Heelys, hostile/aggressive behavior, or pets on our property. This is a family friendly church property so we ask that you watch your language as you skate.

I HAVE READ AND UNDERSTOOD THIS WAIVER AND RELEASE OF LIABILITY, AND I VOLUNTARILY SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENTS. *

Please check this box if you understand and agree to wear a helmet while using the skate park facilities. *

Participant Signature *

Please type your full name to sign digitally

Date *

Please select today's date

Parent (or Guardian) Signature (if participant is under 18 years old)

Please type your full name to sign digitally

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