Pro-Life Experience Youth Waiver and Medical Release

 

Event: Pro-Life Experience

Dates: July 17-21, 2026
Event Sponsor: Ablaze for Life
Event Location: University of Dallas Campus, various prayer sites and service sites in DFW
 
 
CONSENT TO PARTICIPATE AND LIABILITY RELEASE
In consideration for allowing registering Participant to participate in this activity, I / We, the parent(s)/guardian(s)/conservator(s) of the Participant grant permission for my/our son/daughter to travel to and participate in the Pro-Life Experience.
I/we assume all risks and hazards incidental to the participation in the event, including transportation to and from the event.  I also understand that as parent/guardian/conservator, I remain legally responsible for any personal actions taken by the participant named above.
In consideration for allowing this minor to participate in this event, and on behalf of myself/ourselves and participant’s parents, legal guardians, siblings, heirs, assigns, and personal representatives, I/we hereby release and agree to fully and unconditionally protect, indemnify, and defend Ablaze for Life, the University of Dallas, and their respective officers, agents, volunteers, and employees, (collectively, “Indemnitees”) and hold each Indemnitee harmless from and against any and all costs, expenses, attorney’s fees, claims damages, demands, suits, judgments, losses, or liability for injuries to property, injuries to persons (including Participant) and from any other costs, expenses, attorney fees, claims, suits judgments, losses, or liabilities of any and every nature whatsoever arising in any manner, directly or indirectly, out of, in connection with, in the course of, or incidental to the minors participation in the Event, REGARDLESS OF CAUSE OR OF THE JOINT, COMPARATIVE OR CONCURRENT NEGLIGENCE OF THE INDEMNITEES.  In the event any legal action is taken by either party against the other party to enforce any of the terms and conditions of this release, it is agreed that the unsuccessful party to such action shall pay to the prevailing party therein all reasonable court costs, attorneys’ fees, and expenses incurred by the prevailing party.
 
 
MEDIA RELEASE:
On occasion, video recordings, audio recordings, photographic slides, and photographs are taken of minors during Ablaze for Life sponsored activities. These are utilized in newsletters, websites, event promotion, advertisements and other printed media. For good and valuable consideration, I hereby grant to Ablaze for Life the irrevocable and unrestricted right to make, use and/or publish any and all photographs, videos, and other images of me/my minor child(ren) listed on this registration form , or images in which me/my minor child may be included, now existing or hereafter made, in any case, with or without identifying subject for editorial, advertising, news, or any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same. I hereby release and agree to fully and unconditionally protect, indemnify, and defend Ablaze for Life, and their respective officers, agents, volunteers, and employees, (collectively, “Indemnitees”) and hold each Indemnitee harmless from and against any and all costs, expenses, attorney’s fees, claims damages, demands, suits, judgments, losses, or liability for injuries to property, injuries to persons (including the participating minor) and from any other costs, expenses, attorney fees, claims, suits judgments, losses, or liabilities of any and every nature whatsoever arising in any manner, directly or indirectly, out of, in connection with, in the course of, or incidental to the use or publication of any photographs, videos, or other images of my child, REGARDLESS OF CAUSE OR OF THE JOINT, COMPARATIVE, OR CONCURRENT NEGLIGENCE OF THE INDEMNITEES.
 
 
MEDICATIONS BROUGHT FROM HOME POLICY
I understand that no medication (prescription, over the counter, vitamin, supplement or other) may be kept with the Participant or in the Participant's room except for rescue inhalers, diabetic supplies, and epi-pens.
If the Participant regularly takes any medication (prescription, over the counter, vitamin, supplement, or other), the Participant will bring all such medications necessary to the event and such medications will be clearly labeled and in their original packaging. I understand that the Participant will be required to turn all medication(s) over to a supervising adult designated to keep medication(s). (Exceptions are made for Epi-Pens, rescue inhalers, and diabetic supplies, but you must inform camp staff that your child will have these items.) I further understand that it will be the Participant’s responsibility to present himself/herself at a location designated at the appropriate times to take their medication. I understand that the adult to whom this Participant surrenders the medication has no medical training and this adult will not measure dosages. This Participant will return the medication(s) to the adult after he/she self-medicates. At the conclusion of the event it will be this Participant's responsibility to pick up remaining medication(s), if any, at the designated location.
 
 
AUTHORIZATION TO ADMINISTER OVER THE COUNTER MEDICATIONS AND FIRST AID  
I hereby authorize that any first aid treatment may be given as needed
I hereby authorize that the medications indicated with a check below may be given to Participant if the need arises. I understand that camp staff reserves the right to use generic equivalents when available for the name brand over-the-counter medications listed. I understand that such administration will not be done under the supervision of medical personnel, but will be administered as directed on the packaging. 
 
Approved Medications:
 
I shall indemnify and hold harmless the Institution, its governing board, officers, employees, volunteers, and representatives against any claims that may arise relating to my child being administered the above indicated over-the-counter medications.
 
 
 
AUTHORIZATION OF CONSENT TO TREAT MINOR:  
I / We, the parent(s)/guardian(s)/conservator(s) of the minor(s) being registered, do hereby authorize Ablaze for Life, its ministry leaders, event organizers, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location.  It is understood that this authorization is given in advance of any specific treatment or diagnosis, but is given to provide authority and power of treatment, or hospital care which the aforementioned physician in the exercise of best judgment may deem advisable. This authorization is given pursuant to the provisions of Chapter 32 of the Texas Family Code. This authorization shall remain effective throughout the specific event dates listed above.  In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I hereby release, defend and hold harmless Ablaze for Life, the University of Dallas, their officers, directors, agents, employees, volunteers, ministry leaders, event organizers, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
 
 
 
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