FAITH EXPERIENCE CHURCH – HELICOPTER EGG DROP PARENTAL CONSENT AND ASSUMPTION OF RISK ACKNOWLEDGMENT

April 2025

Your name *

Email address *

Name of Event *

Date of Event *

Minor Child Information

Last Name *

First Name *

Middle Name

Grade *

Birthday *

Age *

Relationship to Minor *

Consent of Participation

IN CONSIDERATION of my minor child (the "Minor") being permitted to participate in the Faith Xperience (FX) Egg Drop in the City of Detroit (“Event”), I hereby consent to my minor’s participation in the Event.

I understand that I am assuming all of the risks if my minor gets hurt during the Event, and I state the following:

1. I consent to the Minor's participation in the Event and HEREBY ACCEPT AND ASSUME ALL SUCH RISKS, KNOWN AND UNKNOWN, AND ASSUME ALL RESPONSIBILITY FOR THE LOSSES, COSTS AND/OR DAMAGES FOLLOWING SUCH INJURY, DISABILITY, PARALYSIS OR DEATH, EVEN IF CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW.

2. I HEREBY RELEASE, DISCHARGE AND AGREE NOT TO SUE FAITH XPERIENCE CHURCH, MINISTERS, OFFICERS, VOLUNTEERS, EMPLOYEES, DIRECTORS, AFFLIATES, SUCCESORS AND ASSIGNS, FROM ALL LIABILITY TO ME, THE MINOR, my and the minor's personal representatives, assigns, heirs and next of kin, FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY TO THE MINOR, including, but not limited to, death or damage to property, CAUSED OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE "RELEASES" OR OTHERWISE.

3. I know that these Risks and dangers may be caused by my minor’s actions or inactions, the actions or inactions of others participating in the Event, who may also be minors, the rules of the Event, the condition and layout of the premises, the helicopter and the equipment, or the negligence of others, including those persons responsible for conducting or otherwise involved in the Event.

Overall Consent

This Agreement is interpreted by and intended to be as broad and inclusive as is permitted by Michigan law and that if any portion hereof is held invalid, that the balance shall, not withstanding, continue in full legal force and effect. Any litigation related to the Event and/or this Agreement shall be brought only in a court of competent jurisdiction in the State of Michigan.

I HAVE READ THE ABOVE CONSENT AND ASSUMPTION OF RISK ACKNOWLEDGEMENT, UNDERSTAND WHAT I HAVE READ, AND SIGN IT VOLUNTARILY. I ACKNOWLEDGE THAT I AM AT LEAST 18 YEARS OF AGE OR OLDER AND HAVE THE LEGAL CAPACITY TO SIGN THIS AGREEMENT. I ALSO ACKNOWLEDGE THAT I AM THE LAWFUL PARENT OR GUARDIAN OF THE MINOR

Parent/Guardian Full Name and Date *

A copy of your responses will be sent to your email address.