Your Waiver / Intake Form

I understand it is the parent/guardian/adult responsibility to notify the Chosen Footsteps/Shining His Light Representative of the decision regarding picture/video/social media use. Individuals who do not approve will receive a special identifier throughout the experience.*

Chosen Footsteps LLC and Shining His Light Nonprofit welcome participants, families, and groups to take their own photos/videos during any experience.

I understand that Chosen Footsteps cannnot control or monitor photos or videos taken by other guests in public areas. By participating, I acknowledge that other attendees may take pictures or recordings, and Chosen Footsteps is not liable for photos or videos taken by other guests without individual knowledge or consent.*

I understand the individual may participate in activities that include movement, crafts, interactive experiences, and faith-based lessons. I acknowledge that participation may involve minor risks such as slips, bumps, or scrapes, and I voluntarily assume all risks associated with these activities.*

Chosen Footsteps LLC and Shining His Light provide children’s immersive experiences, mobile activity stations, themed play zones, movement‑based activities, slides, tunnels, obstacle elements, interactive games, and other physical, social, and educational activities (“Activities”). These Activities may involve vigorous movement, climbing, sliding, jumping, balancing, running, and other physical actions.*

While the Released Parties take reasonable steps to provide appropriate equipment, facilities, supervision, and safety guidelines, it is impossible to eliminate all risk. Participation is voluntary and involves inherent risks of injury.*

Activities may include, but are not limited to:

General jumping, sliding, tumbling, climbing, crawling, running

Ball pits, foam pits, tunnels, rope element, soft play structures

Movement games, obstacle challenges, themed activity stations

Collisions with other participants, fixed objects, or equipment

Slipping, tripping, falling, over-exertion, fatigue, muscle strain*

Other Risks may include

Equipment failure or unexpected malfunction

Participant behavior, including roughhousing or rule violations

Errors in judgment by staff or volunteers

Incidents of bullying or physical contact

Extremely rare but possible incidents of child abuse by other participants.

You understand these risks cannot be completely eliminated.*

I release and hold harmless Chosen Footsteps, LLC, Shining His Light Nonprofit, it's staff, volunteers, and affiliates from any and all claims injuries, or damages that may arise from the individual participation in any program, event, or activity. *

Adult Participant, on behalf of themselves and any Child Participant(s), acknowledges:

• They have read and understand this Agreement.

• Activities are inherently dangerous and involve risk of injury or death.

• They voluntarily assume all risks, known and unknown, including those arising from the negligence of the Released Parties.

• They have explained these risks to the Child Participant(s).

*

Participant understands injuries may include:

Minor Injuries: Bruises, scrapes, sprains, strains, cuts.

Serious Injuries: Broken bones, torn ligaments, concussions, eye injuries.

Catastrophic Injuries (rare): Paralysis, brain injury, death.

Participant acknowledges awareness of all possible injury types.*

Participant agrees that Chosen Footsteps LLC and Shining His Light shall not be liable for any injuries or expenses incurred.*

Participant, on behalf of themselves, their child participant, and their heirs, excecutors, administrators, and assigns, fully an unconditionally releases and discharges the released parties from any and all claims, demands, actions, causes of action, damages, losses, or liabilities of any kind arising out of or related to participation in the Activities*

Adult Participant agrees to indemnify, defend, and hold harmless the Released Parties from any and all losses, damages, claims, liabilities, costs, or expenses (including reasonable attorneys’ fees) arising out of:

• Injury, illness, or death of any person

• Damage to property

• Participant’s or Child Participant’s actions

• Insufficient legal authority of the Parent/Guardian to sign for the Child Participant

• Any claim brought by or on behalf of the Child Participant

This indemnity applies to all claims.*

The Parent/Legal Guardian represents that they have full legal authority to act on behalf of the Child Participant(s) and to execute this Agreement. They agree to indemnify the Released Parties for any claims arising from insufficient authority.*

• This Agreement is the entire agreement between the parties.

• It applies to all current and future events and Activities.

• It may only be modified in writing by the Released Parties.

• If any part is held invalid, the remainder remains in full force.

• This Agreement is binding upon Participant’s heirs, executors, administrators, and assigns.

• Venue for any action shall be Brazoria County, Texas, and Texas law governs.

• Failure of the Released Parties to enforce any provision does not constitute a waiver.

*

Participant agrees that any dispute, claim, or controversy arising out of or relating to this Agreement or participation in the Activities shall be resolved exclusively by binding arbitration in Brazoria County, Texas.

Participant waives the right to:

• A trial in court

• A trial by jury

• Participation in a class action

*

Participant grants Chosen Footsteps LLC and Shining His Light, their affiliates, assigns, licensees, and successors, the irrevocable right to use any image, video, audio recording, or likeness captured during Activities for any purpose, including advertising, marketing, promotion, and publication, in any media, worldwide, in perpetuity.

Participant waives the right to inspect or approve the final materials and releases the Released Parties from any claims related to use of such media, including i*

Participant represents that:

• They are fully competent to sign this Agreement.

• They have read this Agreement carefully and understand its terms.

• They are not relying on any statements outside this written Agreement.

• They voluntarily sign this Agreement and intend to release the Released Parties to the fullest extent permitted by Texas law.

• They have had the opportunity to ask questions.

*

I authorize Chosen Footsteps staff or volunteers to administer basic first aid and seek emergency medical care for the individual if necessary.*

I understand each individual is expected to follow instructions and behave safely during all activities. If unsafe behavior occurs, Chosen Footsteps may remove the individual from the activity for their safety and the safety of others.*