Adult Volunteer

ADULT VOLUNTEER
AUTHORIZATION LIABILITY WAIVER AND RELEASE FORM

Gospel Lakes Ministries, Inc., also known as “Gospel Lakes Ranch”, requires that an individual sign this waiver and release form before they participate in any and all GENERAL CAMP ACTIVITIES, HORSE/EQUINE ACTIVITIES, or BOATING/AQUATIC ACTIVITIES.

The undersigned acknowledges that while attending Gospel Lakes Ranch and participating in activities and programs, certain risks and dangers may occur. The undersigned further recognizes that these risks may include physical, emotional or psychological damage or injury, not excluding fatality, due to accidents that may occur or result from being in a wilderness area, forces of nature, any general camp activities, arranged by our organizations and/or your group leader. The undersigned agrees to abide by all policies and procedures of Gospel Lakes Ministries, Inc. in order to maintain the utmost level of safety.

With respect to horse/equine activities, House Bill 280 took effect on September 1, 1995, and contains the following warning:

WARNING
UNDER TEXAS (Chapter 87, Civil Practice Remedies Code), an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities.

In consideration of the above, the undersigned assumes all risks described above, and releases, waives, and agrees to hold harmless Gospel Lakes Ministries, Inc., their directors, officers, agents, employees, and volunteers from any and all liability, actions, causes of action, claims, and demands of every kind or nature whatsoever, whether for bodily injury, property damage, or other loss or damage, which now exists or may arise from or in connection with the individual’s participation in all activities and programs at Gospel Lakes Ranch. The undersigned himself or herself and his other heirs, assigns and representatives agree to hold harmless Gospel Lakes Ministries, Inc., their directors, officers, agents, employees, and volunteers.

The undersigned fully understands this release and waiver form. The undersigned also understands that physical activity at Gospel Lakes Ranch involves the potential risk of injury, and participation in this program is entirely voluntary.

I hereby authorize and consent to the use of images or videos of me, with or without my name, by Gospel Lakes Ranch of New Waverly, TX for purposes including but not limited to: promotional materials, printed publications, internet posts including social media, television, and other media sources. I do this with full acknowledge and consent and waive all claims for compensation for use or for damages. I release Gospel Lakes Ranch, its officers, trustees, employees and agents from liability for any claims by me or any third party in connection with the use of my image.

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VOLUNTEER REQUIREMENTS
Safe & Secure Policy Acknowledgment

I, (Type your name in the box) *

, acknowledge that I have read a copy of the Child and Youth Safe and Secure Policy and that I have read and understand the guidelines and procedures contained there in. I affirm that I will strictly comply with all policies and procedures of Gospel Lakes Ranch including but not limited to its policies and
procedures for reducing the risk of child sexual abuse.

If at any time I find that for any reason I am unable to support this vision, policies and procedures of doctrine or this Camp, I will resign my volunteer service. I will report any known or suspected child abuse or other violation of policy to Gospel Lakes Ranch personnel.

I have read and understand the above provisions, and agree to them.

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Background Checks

Every Adult Volunteer that works at GLM is required to sign a form that will authorize GLM to obtain a background check on them.

Please read carefully, and ask about anything not understood. Your signature indicates your agreement to all terms in this Registration Form, including the background review.

Gospel Lakes performs a standard background review of all Gospel Lakes personnel and volunteers. Please provide the following information (all personal information will remain strictly confidential):

First Name *

Middle Name

Last Name *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Date of Birth *

Date

DL# *

State of Issue *

Have you ever been detained and/or reprimanded for engaging in criminal conduct, including but not limited to any conduct on or near a school campus? *

Yes No

I have read and agree to the terms of the Volunteer Acceptance Form, Adult Authorization Liability Waiver and Release Form and Safe and Secure Policy agreement and I understand that by accepting a position to serve the Lord through this ministry, I am committing myself to service, and that my behavior and attitude will be examined in terms
of my modeling and ministry to others.

Signature of Acceptance *

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Date *

Date

Email *

example@example.com

Add me to your email contact list for updates and newsletters? *

Yes No

Phone Number *

Area Code Phone Number

Participating Church:

Class / Group: