Church Liability Release - MCO Columbia


3100 Pioneer Drive, Columbia, MO 65202 | 573-722-2132 | MyCounselor.Online

 

Waiver of Liability, Release

Assumption of Risk & Indemnity Agreement

MyCounselor | Columbia, MO is not affiliated with COLUMBIA CHURCH OF CHRIST. Office space at 3100 Pioneer Drive, Columbia, MO 65202 , owned by COLUMBIA CHURCH OF CHRIST is leased by MyCounselor for the purpose of providing counseling services to the community.

Each of the undersigned individuals hereby acknowledges that he or she is being allowed on the real property and improvements located at 3100 Pioneer Drive, Columbia, MO 65202 (“Property”), and owned by COLUMBIA CHURCH OF CHRIST (“Owners”) for purposes of receiving counseling services. In consideration of the Owners allowing the undersigned to receive counseling services at the Property for no charge, each of the undersigned individuals hereby waives, releases and relinquishes any and all claims for liability and cause(s) of action, including for personal injury, property damage or wrongful death, occurring to each of the undersigned, arising out of the undersigned’s presence on the Property, whenever or however they occur and for such period such presence on the Property may continue, and by this agreement any such claims, rights, and causes of action that each of the undersigned (and any of such person’s minor children and/or invitee) may have are hereby waived, released and relinquished, and each of the undersigned does so on behalf of his/her heirs, executors, administrators and assigns.

Each of the undersigned (and on behalf of any minor children and/or invitee) acknowledges, understands and assumes all risks arising out of the undersigned’s presence on the Property and the rendition of counseling services, and understands that such presence on the Property involves risks to the undersigned’s person including bodily injury, partial or total disability, paralysis and death, and damages which may arise therefrom and that each has full knowledge of such risks. These risks and dangers may be caused by the negligence of the undersigned or the negligence of others, including the Owners. Each of the undersigned further acknowledges that there may be risks and dangers not known to him or her or not reasonably foreseeable at this time. Each of the undersigned (and on behalf of any minor children and/or invitee), understands and agrees that all of the risks and dangers described throughout this agreement, including those caused by the negligence of undersigned and/or others, are included within the waiver, release and relinquishment described in this release.

It is the purpose of this release to exempt, waive and relieve the Owners from liability for personal injury, property damage, and wrongful death, including if caused by negligence, including the negligence, if any, of Owners.

Each of the undersigned (and on behalf of any minor children and/or invitee) agrees that if any claim for the undersigned’s personal injury or wrongful death is commenced against the Owners, he/she shall defend, indemnify and save harmless the Owners from any and all claims or causes of action by whomever or wherever made or presented for the undersigned’s personal injuries, property damage or wrongful death. Each of the undersigned (and on behalf of any minor children and/or invitee) acknowledges that he/she has been provided and has read the above paragraphs and has not relied upon any representations of the Owners, that each is fully advised of the potential dangers and understand these waivers and releases are necessary to confirm the understanding between the undersigned and the Owners with respect to the use and occupancy of the Property.

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Signature Certificate
Document name: Church Liability Release - MCO Columbia
Unique Document ID: e09bda761f8d2161e30fe73d39e55efbba7d8e64
Timestamp Audit
2017-06-29 09:46:15 CSTChurch Liability Release - MCO Columbia Uploaded by MyCounselor Receptionist - forms@mycounselor.online IP 75.98.106.34