THIS IS A LEGALLY BINDING RELEASE OF CLAIMS.
CONSULT AN ATTORNEY.

FULL RELEASE

OF

PEGRAM CHURCH OF CHRIST OF PEGRAM, TENNESSEE

For and in consideration of access to Pegram Church of Christ of Pegram, Tennessee (the “Church”) and
any other property or facilities owned by or associated with the Church, the undersigned hereby assumes
all risk of injury to himself or herself and damage to his or her property on or about such premises.  The
undersigned hereby waives all claims, causes of action, demands, rights, damages, liability, costs,
attorney’s fees, and expenses of any and every kind whatsoever (the “Claims”) arising out of any act or
omission by the Church, and each of its employees, officers, deacons, agents, and/or their heirs,
successors or assigns, now or in the future, may have against any Released Party.  If this Release is being
signed by a parent or legal guardian on behalf of a minor, the parent or legal guardian acknowledges and
agrees that he or she is freely and voluntarily entering into this Release with the intent and expectation that
it be as binding upon such minor as if such minor had the full legal capacity to sign this Release.


                                         ___________________________
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                                         Date: _____________________