Brothers Retreat Alabama 4-H Center

WAIVER AND RELEASE FROM LIABILITY
As inducement to be permitted to participate in the following activity (the “Activity”): BIS Brothers Retreat, to 4H Center, Columbiana, AL, I, the undersigned, on behalf of myself, or as the case may be, on behalf of my
child(ren) as listed herein below (whether one or more, my “Child”) HEREBY WAIVE AND RELEASE,
INDEMNIFY, HOLD HARMLESS AND FOREVER DISCHARGE Birmingham Islamic Society, an Alabama
nonprofit association d/b/a Hoover Crescent Islamic Center (“BIS”), and its agents, employees, officers,
directors, affiliates, and successors and assigns of and from any and all claims, demands, debts,
contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature,
whether known or unknown, in law or equity, that I or my Child ever had or may have, arising from, or in
any way related to, my or my Child’s participation in the Activity. I and my Child understand that the
Activity can be inherently dangerous and may cause serious or grievous injuries, including bodily injury,
damage to personal property and/or death. On behalf of myself, my Child, my heirs, assigns,
administrators, executors and next of kin, I waive all claims for damages, injuries and death sustained to
me or my property or my Child or his/her property, that I or my Child may have against the
aforementioned released party to such activity, including claims in tort, contract, equity or otherwise. I
and my Child acknowledge, agree, and represent that I understand the nature of the Activity and that I
am, and my Child is, qualified, in good health, and in proper physical condition to be involved in the
Activity. By this Waiver, I and my Child assume any risk, and take full responsibility and waive any claims
of personal injury; death or damage to personal property associated with the aforesaid. Further, I and
my Child hereby indemnify BIS against any and all claims, demands, debts, contracts, expenses, causes of
action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or
equity, that may be incurred by BIS arising from, or in any way related to, the Activity. This WAIVER AND
RELEASE contains the entire agreement between the parties, and supersedes any prior written or oral
agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provisions
of this WAIVER AND RELEASE may be waived, altered, amended or repealed, in whole or in part, only
upon the prior written consent of all parties. The provision of this WAIVER AND RELEASE will continue in
full force and effect even after the completion of the Activity and termination of the activities conducted
by, on the premises of, or for the benefit of BIS, whether by agreement, by operation of law, or
otherwise. I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I
understand and confirm that by signing this WAIVER AND RELEASE I and my Child have given up
considerable present and future legal rights, and have agreed to do so in consideration of my being
permitted to participate in the Activity. I have signed this WAIVER AND RELEASE freely, voluntarily, under
no duress or threat of duress, without inducement, promise or guarantee being communicated to me.
My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of
all liability to the full extent of the law. I am 18 year of age or older and mentally competent to enter
into this waiver. I am the parent or legal guardian of my Child.