Liability Release

Young Missionaries

In connection with and consideration of my participation in the Missionary Wellness Center/Missionary Wellness Program and related activities, I hereby represent and agree as follows:

  1. I understand that I will be a participant in a Paz Wellness affiliated program and related activities, and I hereby give permission for him/her to serve in that capacity at Paz Wellness.
  2. I understand that I will be provided with the orientation and training necessary, and as needed, for the safe and responsible performance of the duties assigned. I will be expected to meet all the requirements of the position, including regular attendance and adherence to Paz Wellness, hospital, and department policies and procedures.
  3. Should I require emergency medical treatment, first aid, or transportation to a hospital or medical facility as a result of illness or injury associated with my participation in the Paz Wellness program or related activities, I consent to any such treatment, first aid and/or transportation that may be provided to my child, and understand that Paz Wellness will not be responsible for any costs associated with any of the foregoing.
  4. I understand that as a member of this Paz Wellness affiliated program and related activities, I may participate in physical activity. I represent and warrant that I am in good physical condition, and have no physical, health related or other problems which would preclude or restrict his/her participation in this program or related activities or otherwise render my participation dangerous or harmful to myself or others, and that I can participate in physical activity.
  5. I understand that as a participant in the Paz Wellness program and related activities, I will be provided food and it is my responsibility to ask about ingredients in all food I choose to ingest.
  6. I authorize the Paz Wellness to publish or release to the media any pictures of myself during my time as a participant in an approved Paz Wellness affiliated program for promotional or recognition purposes only.

I, the undersigned, certify that I am the participant (named above) and that I have the right to make decisions that affect my well being. I recognize and acknowledge that physical injury, accident, illness, death, loss of personal property, or other contingencies may befall on me as a participant in the Paz Wellness program and related activities. I understand that I am not in any way required to participate in the program and related activities, and despite these risks, I want to participate in the preceding.

In light of the preceding and with sufficient knowledge of my physical and other conditions and limitations, if any, I voluntarily assume all responsibility and risk of loss, damage, illness and/or injury to person or property which I may, in any way, sustain in connection with my participation in the program and related activities.

In consideration of my participation in the program and related activities, I agree to release Paz Wellness and its trustees, officers, employees, agents and volunteers from any and all liabilities, damages, losses and/or causes of action (collectively, “Claims”) that I may suffer or have, including without limitation, to our persons or property or both, which arise out of, are related to or in connection with, or occur during, my participation in or attendance at the program and related activities except to the extent any such Claims are caused by the gross negligence or willful misconduct of the employees of Paz Wellness. I further agree to indemnify and hold harmless Paz Wellness and its trustees, officers, employees, and volunteers from any and all Claims arising out of, related to, or in connection with the program or related activities that are caused by my negligent or intentionally tortuous acts and/or omissions.

I agree that this agreement shall be governed by the laws of the State of Utah without giving effect to any choice or conflict of law principles of any jurisdiction, and if any portion of this agreement is held invalid, the remainder of the agreement shall continue in full force and effect.

I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER AND THAT I HAVE READ, FULLY UNDERSTAND AND AGREE TO THE TERMS OF THIS AGREEMENT, AND I SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

Senior Couples

In connection with and consideration of my child’s (named above) participation in the Missionary Wellness Center/Missionary Wellness Program and related activities, we hereby represent and agree as follows:

  1. We understand that we will be a participant in a Paz Wellness affiliated program and related activities, and we hereby give permission for him/her to serve in that capacity at Paz Wellness.
  2. We understand that we will be provided with the orientation and training necessary, and as needed, for the safe and responsible performance of the duties assigned. We will be expected to meet all the requirements of the position, including regular attendance and adherence to Paz Wellness, hospital, and department policies and procedures.
  3. Should either one of us require emergency medical treatment, first aid, or transportation to a hospital or medical facility as a result of illness or injury associated with my participation in the Paz Wellness program or related activities, we consent to any such treatment, first aid and/or transportation that may be provided to either one of us, and understand that Paz Wellness will not be responsible for any costs associated with any of the foregoing.
  4. We understand that as a member of this Paz Wellness affiliated program and related activities, we may participate in physical activity. We represent and warrant that we are in good physical condition, and have no physical, health related or other problems which would preclude or restrict his/her participation in this program or related activities or otherwise render my participation dangerous or harmful to myself or others, and that we can participate in physical activity.
  5. We understand that as a participant in the Paz Wellness program and related activities, we will be provided food and it is my responsibility to ask about ingredients in all food we choose to ingest.
  6. We authorize the Paz Wellness to publish or release to the media any pictures of myself during my time as a participant in an approved Paz Wellness affiliated program for promotional or recognition purposes only.

We, the undersigned, certify that we the participant (named above) and that we have the right to make decisions that affect my well being. We recognize and acknowledge that physical injury, accident, illness, death, loss of personal property, or other contingencies may befall on me as a participant in the Paz Wellness program and related activities. We understand that we are not in any way required to participate in the program and related activities, and despite these risks, we want to participate in the preceding.

In light of the preceding and with sufficient knowledge of our physical and other conditions and limitations, if any, we voluntarily assume all responsibility and risk of loss, damage, illness and/or injury to person or property which we may, in any way, sustain in connection with my participation in the program and related activities.

In consideration of our participation in the program and related activities, we agree to release Paz Wellness and its trustees, officers, employees, agents and volunteers from any and all liabilities, damages, losses and/or causes of action (collectively, “Claims”) that we may suffer or have, including without limitation, to our persons or property or both, which arise out of, are related to or in connection with, or occur during, my participation in or attendance at the program and related activities except to the extent any such Claims are caused by the gross negligence or willful misconduct of the employees of Paz Wellness. We further agree to indemnify and hold harmless Paz Wellness and its trustees, officers, employees, and volunteers from any and all Claims arising out of, related to, or in connection with the program or related activities that are caused by my negligent or intentionally tortuous acts and/or omissions.

We agree that this agreement shall be governed by the laws of the State of Utah without giving effect to any choice or conflict of law principles of any jurisdiction, and if any portion of this agreement is held invalid, the remainder of the agreement shall continue in full force and effect.

WE CERTIFY THAT WE HAVE READ, FULLY UNDERSTAND AND AGREE TO THE TERMS OF THIS AGREEMENT, AND WE SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.