Aug
14
Humble Intervention & Prayer
With Elijah Rising
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Name

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Primary Phone

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Email

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Have you been to intervention before?

If you have any questions about intervention! Call us at 832.628.3439
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Are you interested in becoming an Intervention Team Leader?

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Please sign this Waiver!

I understand there are risks to serving as an Elijah Rising volunteer or participating in any Elijah Rising event. While some of these risks are foreseeable, many are not. I know that volunteering with Elijah Rising may take me to dangerous areas and at-risk communities, where alcohol, drugs, weapons and other dangers may be present. I freely choose to assume all risks associated with any dangers involved with being an Elijah Rising volunteer, whether disclosed or undisclosed, foreseeable or unforeseeable.

I agree that Elijah Rising, the Elijah Rising Board of Directors, staff members, volunteers, and any other Elijah Rising agents and representatives, are not responsible or liable for my personal safety, expenses, medical treatment, or compensation for any injury or damages I may suffer during or resulting from my participation with Elijah Rising, including but not limited to, property damage, injuries and even death. I also understand that I am free to refuse to engage in any activity at any time and for any reason, and that I will only serve as I see fit.

Accordingly, I do hereby, for myself, my heirs, executors, administrators, and all others who can claim through me, waive, release, and forever discharge Elijah Rising, the Elijah Rising Board of Directors, Elijah Rising staff members, volunteers, and any other Elijah Rising agents and representatives, from any and all actions, causes of action, claims and demands, arising out of any and all personal injuries, damages, expenses, loss or damage, known or unknown, apparent and not apparent, present and future, sustained or in any way connected to my participation as an Elijah Rising volunteer.

I understand that this Full Release and Waiver of Liability has important legal consequences and limits my ability to recover damages as a result of my participation with Elijah Rising. I understand that no Elijah Rising staff, volunteer, agent or representative has any authority to make me do anything I do not freely wish to do. I further understand that no Elijah Rising staff, volunteer, agent or representative may make representations to me inconsistent with this Full Release and Waiver of Liability. I have been given the opportunity to discuss the above terms and consequences with an attorney of my choosing.

I affirm that I am at least 18 years old, that I have read, understood and agreed to this Full Release and Waiver of Liability, and that I am capable of entering into such agreement. Further, I agree that I enter into this Full Release and Waiver of Liability in consideration of being permitted to be an Elijah Rising volunteer and participate in this activity.

I authorize Elijah Rising to conduct a criminal background check on me. I understand and agree that a copy of this form will be kept on file with Elijah Rising.

I have read and understand the above.
Event Details
Saturday 14 August 2021, 5-8pm CDT
Grace Church of Humble
About Elijah Rising
Elijah Rising is ending sex trafficking through prayer, awareness, intervention, ​and restoration.
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