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Douglasville Event

April 16, 11 a.m. – 3 p.m.
Exodus Ranch
2280 Pine Drive
Douglasville, GA 30135

OneDay FunDay Consent Form

Registration is required to attend the event. Deadline to register is April 11.

OneDay FunDay is provided by Mission Georgia, an initiative of the Georgia Baptist Mission Board in collaboration with Waymark Inc. If you have any questions, contact Tasha Whitener at tasha@waymarkfoster.org.

Step One: Complete the OneDay FunDay consent form below.
Step Two: Upon submission of the consent form, users will be redirected to WaymarkFoster.org to complete the OneDay FunDay event registration form.

Fields marked with an * are required.

OneDay FunDay Douglasville Registration

Medical Information

Medical Insurance Coverage
I acknowledge that neither Georgia Baptist Mission Board, Waymark Foster Inc, Exodus Ranch shall provide medical insurance coverage for myself or the children I am bringing to OneDay FunDay. I acknowledge that all information provided on this registration is current and correct.

Medical Release

If the above listed children are injured during their participation in any OneDay FunDay activity, Georgia Baptist Mission Board, Waymark Foster Inc, Exodus Ranch do not assume any liability to provide or continue to provide any such services as required. I assume all responsibility for the well being of my child during the event. Should the children listed above require transport to a medical facility as a result of an injury, I am financially responsible for such transportation and medical treatment costs. If any of the children listed in my care are injured during camp, it is my responsibility to immediately notify a OneDay FunDay volunteer. I hereby hold harmless and agree to indemnify Georgia Baptist Mission Board, Waymark Foster Inc, Exodus Ranch from any claims, causes of action, damages and/or liabilities, arising out of or resulting from said injury or medical treatment. I further agree to accept full responsibility for any and all expenses, including medical expenses that may derive from any injuries to the children listed above in my care that may occur during his/her participation at the OneDay FunDay.

I further acknowledge that this releases all participants and providers of the event from any responsibility or obligation to provide financial assistance or other assistance. I understand and acknowledge that this release binds myself, children listed above in my care, my heirs, administrators and personal representatives.

Other
I expressly agree that this content and release is intended to be as broad and inclusive as permitted by the laws of the state of Georgia in the United States of America., and that this release shall be governed by and interpreted in accordance with the laws of the State of Georgia. 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. This release shall be governed by and construed under the laws of Georgia.

I agree that any legal action or proceeding relating to this release as a result of myself or children listed in my care participating in the OneDay FunDay event shall be brought only in Douglas County, Georgia.

I also understand that I am consenting to my personal image being used in media such as still pictures and videos for the possible use of future social media, online, training, or reporting related to Mission Georgia, OneDay FunDay, the Georgia Baptist Mission Board and partnering organizations.

I further state that I have carefully read the foregoing release and know the contents thereof and I sign this release as my own free act. This is a legally binding agreement which I have read and understand.

Verification *
I agree that providing the requested information and checking this box is the same as having signed my name.

Parent/Guardian Digital Signature

By filling out your name and today's date below, you are providing a digital signature. You are acknowledging that all of the information provided is accurate and affirming that you have the legal right to provide this information on behalf of the child as their parent or legal guardian.
Applicant Verification *
I agree that providing the requested information and checking this box is the same as having signed my name.

Program Participation Agreement for OneDay FunDay

I, the undersigned, hereby acknowledge that the children listed in my care and myself are able to participate in OneDay FunDay. It is my wish for the children listed above to participate in any and all activities. I release and forever discharge and hold harmless the sponsors, organizers, volunteers, and property site owners, specifically including, but not limited to Georgia Baptist Mission Board, Waymark Foster Inc, Exodus Ranch.

Upon submission of the consent form, users will be redirected to WaymarkFoster.org to complete Step Two: the OneDay FunDay event registration form. Users will also receive an email confirmation and a copy of their information.