IMPORTANT: Read this document carefully before signing. This is a
legally binding document. It is understood that this fully signed
form must be submitted to BMCC before participate in any school
related activities.
RELEASE WAIVER OF LIABILITY – I, the undersigned hereby indemnify
and hold harmless, release, waive, discharge and covenant not to,
bring any claim, lawsuit, action, litigation or demand in any form
or forum against BMCC its affiliates , its administrators, teachers,
students or any volunteers related with the school, all for the
purpose hereby referenced as “releases,” for all liability to the
undersigned, for any and all loss, injury, damage, act of God, war,
civil unrest, sickness, terrorism, and any actions, claims, demands,
damages, costs or expenses therefore, which I may have against
releases arising out of, or in any way connected with my
participation in any school-related activity.
SEVERABILITY: The undersigned further expressly agrees that the
foregoing waiver agreement is intended to be as broad and inclusive
as its permitted by the law of the State of California and that if
any portion thereof is held invalid, it is agreed that the balance
shall, not withstanding, continue in full legal force and effect. I
also give permission to any one affiliated with the BMCC to provide
or help provide any necessary medical assistance, care, emergency
room service for me during the school related activities.
PHOTO RELEASE WAIVER: Occasionally, BMCC photographs and/or videotapes
during the Summer Youth Programs. Photos and videos are used for many
different purposes including publications, advertising, and promotional
materials. Your signature gives your permission to use photos/videos of
your child for promotional purposes.
AUTOMATIC BILLING AGREEMENT: This automatic billing (the
"Agreement") is a legally binding agreement between you and
Brentwood Muslim Community Center (BMCC). This agreement sets forth
your rights and obligations with respect to automatic billing and
payment of your monthly BMCC course program. By clicking the "I
Agree" box, you are indicating that you have carefully read this
agreement, understand it, and consent to be bound by all its terms
and conditions. If you do not agree to the terms of this Agreement,
you should stop the registration process now. Monthly Payments:
Registrant authorizes a payment to BMCC from your credit card,
debit/bank card or bank account in the amount of the current fee for
the selected program and term. By accepting this Agreement,
Registrant authorizes payments to BMCC from your credit card,
debit/bank card, or bank account. Registrant authorizes automatic
recurring payments for automatic renewal. Registrant understands
that any automatic recurring payment method or renewal authorization
will remain in effect until withdrawn by registrant or terminated by
Provider.
The following is the payment of the summer program:
I have read this waiver hold harmless agreement and release of
liability and fully understand its terms. I further understand that
by signing this agreement that I am giving up substantial legal
rights. I have not been induced to sign this by any person, any
promise or representation, and I sign it voluntarily and of my own
free will. I understand that this agreement cannot be modified or
changed except in writing by the BMCC and that no oral modification
or interpretation shall be valid.
Please check the box below and sign the application. *
I have read and agree with the terms and conditions.