Consent to Participate and Waiver of Liability Release Form - Facilities and Amenities

The purpose of The Fayetteville Church's Worship, Education & Retreat Preserve is to create a spiritual environment where participants can draw near to God & one another by building family, friendship, community, and having fun. Please fill out the following Consent to Participate and Waiver of Liability Release Form to start enjoying our grounds!
Read the following guidelines to use Facilities and Amenities of The Fayetteville Church including trail and lake use. Then agree to the statements. 
General Prohibitions.


 In order to maintain consistency of our purpose and goals, the following rules apply to everyone:


1.     No alcohol, drugs, vaping, or smoking of any kind.**


2.     With the exception of activities in the church building, all activities are restricted from dawn to dusk.  Activities after dusk or before dawn are prohibited, including using the lake and trails.**


3.     No ATVs, RVs, etc.


4.     No horses.


5.     No motorized vehicles on the trails, with the exception of electric bicycles.***


6.     The use of fireworks, weapons, or the discharging of firearms is prohibited.


7.     No hunting or trapping.


8.     No loud music or other disturbing noises.**


9.     No open flames or campfires.**


10.  Owners are responsible for their pets and must clean up after their pets. Pets must always remain close to their owner. When other people or pets are present, pets must be on a leash.


11.  All children under the age of 18 must be under the supervision of a parent or guardian and are the sole responsibility of the parent or guardian.


12.  Do not disturb or harm wildlife. Poisonous snakes do exist and should be avoided. DO NOT handle or go near the snakes! Similarly, there are many snapping turtles. Do not touch or go near the turtles – they bite!


13.  No littering or dumping.


14.  Take all waste and trash with you when you depart. Bathroom facilities do not exist outside the worship facility so plan accordingly.


15.  Failure to abide by these prohibitions may result in loss of the use of facilities and amenities.


** Exceptions may be granted but require written permission and/or a permit available here.



***Exceptions to motorized vehicles include any motorized vehicle that is helping aid or transport a person with a disability. 


 


Lake & Dam Safety Rules


1.     No swimming or diving.


2.     Currently, fishing is catch and release only! DO NOT release fish caught outside our lake into our ecosystem. 


3.     Diving or jumping off the docks is prohibited. No running on the docks.


4.     No diving or jumping into the lake from boats.


5.     Electric Motors only are permitted on the lake**


6.     Permitted watercraft include kayaks, canoes, paddle boats, paddle boards, inflatable boats, and row boats, small fishing boats, and small sailboats. Check with staff before using other types of watercraft.**


7.     In accordance with state laws, all persons using any watercraft must have an approved personal floatation device (PFD) on board. Any person ages 13 or under using a watercraft must wear the PFD at all times.


8.     Persons under the age of 18 using the docks or watercraft must be accompanied by a member.


9.     Currently, fishing, jumping, or diving from the dam is prohibited. 


10.  Climbing on the dam’s concrete spillway is prohibited.


11.  Motorized vehicles on the dam are prohibited, except for electric bicycles on the marked trail.


12.   The lake dam road is for pedestrians and bikers only. Further restrictions may apply at various times so be aware of and abide by all signage around the dam.


 


In addition to the prohibitions above, there are many other considerations for all lake users. Below are a few of these considerations:


·      The lake has no lifeguards or designated swim areas.  Anyone using the lake does so at their own risk.


·      The quality of the lake water is unknown and subject to change due to changing weather conditions, and chemicals or other foreign substances entering the lake. The lake water could be detrimental to your health.


·      The lake bottom contains thousands of stumps and other non-visible hazards which make wading, swimming, boating, diving, and jumping potentially dangerous. Anyone using the lake should be aware of these hazards and use the lake at their own risk.


·      Failure to abide by the rules and cautions can lead to serious bodily harm or death.

Please select all that apply.
I, in consideration of being allowed to participate in the use of the facilities and property owned by The Fayetteville Church, Inc., do forever waive and release The Fayetteville Church, its Board of Directors, staff and volunteers from any and all claims or liabilities for injuries or damages to my person and/or property, including those caused by negligent acts or omission of those mentioned or others acting on their behalf arising out of or connected with my participation in this and any activity, and I hereby agree to submit to any and all claims to binding arbitration and abide by the judgment of that arbitration.
Please select all that apply.
I declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation in this activity.  I understand that a medical examination to assure my physical fitness is desirable and obtaining such examination is my own responsibility.  I acknowledge that I have had a physical examination and have been given my physicians’s permission to participate in this activity OR I have decided to participate in this activity without the approval of my physician and do assume all responsibility for my participation in this activity.  I fully understand that I am forever giving up, in advance, any right to sue or make claim against the parties I am releasing if I suffer any injuries or damages and I am voluntarily assuming the risk of those injuries or damages
Please select all that apply.
I do waive, release and hold harmless The Fayetteville Church Inc., its Board of Directors, staff, and volunteers for any illness (including COVID-19) that may be suffered by me in  the normal course of participation in these activities, whether the result of negligence or any other cause.
Please select all that apply.
In signing this release, I acknowledge and represent that I read the foregoing Waiver of Liability Form, understand it and sign it voluntarily as my own free act and deed and am not under any physical or emotional duress to sign.  I am at least 18 years of age and fully competent.  In case of emergency I agree to allow the above parties to call for emergency medical assistance and I am aware that I am financially responsible to those medical services
Please select all that apply.
Please select all that apply.
Please select all that apply.
 
 
 
 
 
For Minor(s)

I/We the undersigned have legal custody of the minor named below, and have given our consent for him/her to participate in all events being organized by The Fayetteville Church , to include but not limited to activities held at the church building and property  located at 1700 Elliot Farm Road, Fayetteville, NC 28311.

To the extent permitted by law I agree to not hold liable The Fayetteville Church Inc., its Board of Directors, staff, and volunteers for any injury or harm to my child as a result of their participation in these activities or while my child is in transit to or from these activities.



In addition to giving my full consent for my child’s participation, I do waive, release and hold harmless The Fayetteville Church Inc., its Board of Directors, staff, and volunteers for any illness (including COVID-19) that may be suffered by my child in the normal course of participation in these activities, whether the result of negligence or any other causes.
Please select all that apply.
 

Description

The purpose of The Fayetteville Church's Worship, Education & Retreat Preserve is to create a spiritual environment where participants can draw near to God & one another by building family, friendship, community, and having fun. Please fill out the following Consent to Participate and Waiver of Liability Release Form to start enjoying our grounds!