Building Bridges

Name *

First Name

Last Name

Phone *

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Which area(s) are you interested in serving in? *

Select multiple if more than one apply.

Electrical

Plumbing

Landscape / Gardening

General Cleanup

Trash pickup with trailer tow

Visitation & Fellowship

Painting

Dinner Crew (Prepare, Serve, Cleanup)

Onsite Projects (Wellness Jar)

(Check each box to signify agreement) *

Waiver and Release. I, the Participant, release and forever discharge and hold harmless Creekside & SRPC from any claim or liability that I, the Participant, may have against Creekside and/or SRPC with respect to any bodily injury, personal injury, illness, death or property damage that may result from my participation in the Building Bridges event. I also understand that neither Creekside nor SRPC assumes 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, illness, death or property damage. (See insurance requirements below).

Insurance. I, the Participant, understand that Creekside & SRPC may or may not elect to provide group insurance and make it available to participants. Any coverage so provided will be governed by the policy language. Except to the extent it makes available such group accident insurance, neither Creekside nor SRPC carry or maintain, and expressly disclaims responsibility for providing any health, medical or disability insurance coverage for the Participant. *EACH PARTICIPANT IS EXPECTED TO ARRIVE AT A SERVICE PROJECT WITH MEDICAL OR HEALTH INSURANCE COVERAGE IN EFFECT FOR THE DURATION OF THE SERVICE PROJECT.

Medical Treatment. Except as otherwise agreed to by Creekside or SRPC in writing, I hereby release and forever discharge Creekside & SRPC from any claim whatsoever which arises or may hereafter arise as a result of any first-aid treatment or other medical services rendered in connection with an emergency during my time with Creekside & SRPC and “Building Bridges.”

Assumption of Risk. I understand that my time with Creekside & SRPC may include activities that may be hazardous to me, including, but not limited to, construction activities, loading and unloading of equipment and materials and local transportation to and from project sites. So, I recognize and hereby expressly and specifically assume the risk of injury or harm in these activities and release Creekside & SRPC from all liability for injury, illness, death or property damage resulting from the activities of my time with Creekside & SRPC and “Building Bridges.”

Photographic Release. I grant and convey unto Creekside & SRPC all right, title and interest in any and all photographic images and video or audio recordings made by Creekside or SRPC during my work with "Building Bridges" including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings.

Other. I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of California in the United States of America, and this Release shall be governed by and interpreted in accordance with the laws of the State of a California. I agree 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.

Transportation. I acknowledge that neither Creekside nor SRPC will be providing transportation for this event, and that I am responsible for getting to and from the work site.

To express my understanding of this Release, I enter my name below (Please enter your full legal name below to signify understanding of this Release. NOTE: If this is an individual minor, a Parent/Guardian must also sign below) *

First Name

Last Name

(Fill out this section only if the above is a minor) To express my understanding as Parent/Guardian, I enter my name below (Please enter your full legal name below to signify understanding of this Release.

First Name

Last Name

Parent/Guardian Cell Phone

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