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Discipleship Classes at Messiah Community Church

Spring Schedule 2013 Classes begin on Monday, February 4, 2013 Classes end on April 21, 2013 Registration begins Sunday, January 20 Registration ends Sunday, February 17 No Classes Will Be Held During Easter Week March 31, 2013 – April 6, 2013 Messiah Community Church Ministry Center 10715 Red Run Blvd. Suite 110, Owings Mills, MD 21117 www.messiahcconline.org


Dear Messiah Friends & Family, I’m delighted to welcome you to the 2013 Spring Session of our Power for Living Institute. As you get enrolled and prepare for a fresh season of learning and growing in Christ, our Ministry Team is praying for you. Our prayer is that God will grant you fresh and practical insights from His word that will transform your life and take you deeper in your love for Jesus. The Power for Living Institute is an answer to years of prayer at Messiah. As a new church plant in 2005, we sought God about the most effective way to help His people grow as disciples of Christ. We believe we’ve found something special with PFL. Each class has topic matter that anyone can benefit from. Our facilitators are committed to helping each person in their group grow. And in addition to all that, it’s a great opportunity to connect with new people at Messiah. Personally, I’m praying for a great move of God in your life. So expect something wonderful from The Lord. In fact, I encourage you to pray the same thing for others who are taking classes. And by all means, invite people from your circle of friends who are outside of Messiah. It’s a great way to introduce them to Jesus Christ and to the ministry of Messiah Community Church. It’s going to be a great season of growth! Grace in Christ, Pastor Rod Hairston


STEP 1: MEMBERSHIP AT MESSIAH (Boot camp) Dates: Saturdays, February 16; March 23; April 19, 2013 Register online: www.messiahcconline.org

STEP 2: MATURING AT MESSIAH

(Highly recommended for people new to their faith and those who want a safe place to ask questions about the foundational truths of the Christian Faith.)

PREREQUISITE Completion of Step 1: MEMBERSHIP AT MESSIAH (Boot camp) Facilitators: Jason Hammond and Victoria Wolf Day/Time: Sunday, 12:30pm - 2:00pm Location: Koinonia Room Description: This course is designed to help you master the fundamentals of the Christian life as you explore the Scriptures. Principals for both following Christ and for Christian growth will be covered. Materials: Growing In Christ


STEP 3: MINISTRY AT MESSIAH

(Highly recommended for those who want an answer to the question, “What am I supposed to do with my life?”)

PREREQUISITES Completion of Step 1: MEMBERSHIP AT MESSIAH (Boot camp) Completion of Step 2: MATURING AT MESSIAH Facilitators: Lisa Haywood, Omar Savory, and Joni Williams Day/Time: Sunday 12:45pm - 2:15pm Location: Café Description: Discover your God-given spiritual gifts, personal style, and ministry passion for serving in and through the body of Christ. Materials: S.H.A.P.E. Finding and Fulfilling Your Unique Purpose For Life


TEMPLE BUILDERS FOR MEN

(Highly recommended for those who want to move in the right direction towards adopting a healthy lifestyle. With biblical support, health and fitness professionals will coach you on weight loss, nutrition, and exercise.) PREREQUISITES Open to men ages 16+, must attend 2 out of 3 of the first sessions to participate in ongoing course/exercise. If you have not participated in the summer session, you must complete the health survey and attend the health fair/orientation or have a note from your physician saying you may participate. Facilitator: Matt Lawrence Day/Time: Monday, 7:00pm - 8:30pm Location: Main Room

(Work outs and small groups will be separate from the women)

Materials: The Seven Pillars of Health Leader’s Guide: An Interactive Blue Print for Healthy Living


TEMPLE BUILDERS FOR WOMEN

PREREQUISITES Open to women ages 16+, must attend 2 out of 3 of the first sessions to participate in ongoing course/ exercise. If you have not participated in the summer session, you must complete the health survey and attend the health fair/orientation or have a note from your physician saying you may participate. Facilitators: Chastity Edwards, Tanya Young, Michelle Riddick, Jen Lawrence, and Joan Whitcomb Day/Time: Monday, 7:00pm - 8:30pm (Maximum Class Size: 30 Participants) Location: Main Room

Description: The mission of the Temple Builders is to support healing and strengthening‌ by encouraging and educating MCC and the surrounding community to have a healthy body, mind and spirit. In addition, promoting preventative measures in hopes that people can maintain good health by educating them about the importance of regular screenings, a proper diet, exercise and prayer. The ministry will provide opportunities to educate the community in order to accomplish our goal. Materials: Made To Crave Devotional: 60 Days To Craving God


CONVERSATIONS WITH GOD: PRAYER 101

(Highly recommended for anyone who wants to grow and strengthen their prayer life) Facilitator: Dawn Swayne Day/Time: Wednesday, 10:00am - 11:30am Location: Koinonia Room Description: “Do you want to grow closer to Christ? There is no better place to begin than in prayer. Our intimacy with God requires what every other healthy relationship needs: good communication! Jesus longs for intimate conversation with us. Join us on a 10 week journey into discovering that prayer is more than just a way with words. It is a desperate, intimate, reverent and joyful conversation with the God of the universe - who grants us the incredible privilege of approaching His throne and running into His arms.� Materials: Love To Pray


MONEY MATTERS

(Highly recommended for those who are looking for help with reducing the struggle with finances.)

Facilitators: Maurice Haywood and Lonnie Carroll Day/Time: Wednesday, 7:00pm - 8:30pm Location: Koinonia Room Description: In this ten week class, we will review the textbook and go through some practical exercises to reinforce what God’s Word says about spending, saving, budgeting, giving, debt, etc. These applications will either strengthen concepts you are already implementing in your life, or they will help you get started. Materials: Your Money Counts


THE ART OF MARRIAGE

(Highly recommended for married couples) Facilitators: Pastor Brian and Kelli Edwards Day/Time: Saturday, 10:30am - 12:00pm Location: Koinonia Room Description: God can turn any marriage into a masterpiece. Every Marriage is unique, expressed by the colorful personalities of each spouse and textured by the circumstances at play in their lives. Blending these to make marriage work is a divinely inspired art form — challenging to master but definitely worth the effort. Materials: The Art of Marriage.


CYBER PREDATORS, CYBER BULLYING, CHAT ROOMS, PORNOGRAPHY… Do You Know How To Keep Our Children Safe?

(Highly recommended for anyone who spends time with children) Facilitator: Wendolyn (Wendy) Torres is the K-5 Technology Coordinator for RPCS. She has been teaching for 12 years and is a certified instructor for I Safe America. I Safe America is one of the largest non-profit organizations dedicated to teaching parents and students how to be safe on the Internet. She has been a member of Messiah Community Church for 3 years and is an active member of the church’s multimedia team. Day/Time: One Session offered with your choice of days. Saturday, February 9, 2013, 2:00pm - 4:00pm OR Saturday, March 9, 2:00pm - 4:00pm Location: Café Cost: Bring a friend and we will provide the conversation and the snacks. Description: How do we protect our children by setting rules if we do not understand the risks? The Internet is a wonderful tool, but it also presents us with many challenges concerning our personal safety and privacy. This course is intended to help anyone who works with children,-regardless of their technical know-how,-identify and understand the risks and dangers that exist in the online community. Topics that will be discussed include cyber predators, cyber bullying, pornography, and more. Materials: All participants will be provided with an instructional packet that contains multiple resources for parents and defines many of the terms used in the cyberspace community.


REPOSITIONING IN YOUR SEASON

(Highly recommended for adults who are in a season of being single) Facilitator: Dawn Sanders; M.Div. Dawn Sanders is an Associate Minister at First Baptist of Glenarden. There she serves as a Facilitator for the Queen Esther Ministry. This ministry is for women who want to develop their relationship with God and develop friendships with other women. Discipling women; specifically adults who are single; is Dawn’s passion. It is the mission of the ministry, A Cord of Blue, she and her late husband, Regional Sanders started in 2010. They wanted to help single people with their transition to marriage. Dawn continues to do this work through speaking engagements, writing articles, and by providing counseling. These activities are undergirded by the Word of God. Dawn graduated Summa Cum Laude with a master’s degree in Divinity from Bethel Seminary of the East. Prior to serving in ministry full time, she was a Software Test Engineer for Lockheed Martin. Day/Time: February 14, 7:00pm - 9:00pm Location: Main Room Cost: $15 per person Description: A powerful teaching and testimony of God’s faithfulness at any stage of our adult life. Our time will be uplifting, exciting and something you don’t want to miss!


TUESDAY NIGHT FAMILY BIBLE STUDY Facilitator: Pastor Rod Hairston Day/Time: Tuesdays, 7:00pm - 8:30pm Location: Teaching Center Dinner: Begins at 6:30pm Open enrollment throughout the session Children’s ministry will be available for ages 2-10. Please register your child/children at www.messiahcconline.org (found under the resources tab)

TEEN MINISTRY

Righteously Outspoken Young Ambassadors Leading Together (R.O.Y.A.L. – T.) The R.O.Y.A.L.-T. High School Ministry focuses on teaching and equipping our youth using innovative and relevant tools and methods, including music, video, creative arts, and social media, to help them know Christ and to make Him known to their generation. R.O.Y.A.L.-T. 1 Peter 2:9-10 PREREQUISITE Youth in grades 9 through 12 Facilitators: Omar Savory, Matthew Lawrence, Jennifer Lawrence Day/Time: Tuesdays 7:00pm - 8:30pm.; Sundays 9:20am Location: Tuesday Evening, the group meets in the Ministry Café; On Sunday morning, the group meets in the foyer before Worship Service. Description: Tuesday Fellowship Nights feature discussions on teen issues from a biblical perspective. Sunday Morning Teen Devotion - teens get together for a time of study and prayer. Materials: Growing in Christ Open enrollment throughout the session


WOMEN IN THE WORD WEDNESDAYS (Highly recommended for all of the women of Messiah and their friends)

Facilitators: Sheri Hairston and Karen Eldridge Day/Time: Wednesdays, 7:00pm - 8:30pm (This is a ten week class) Location: Main Room Description: Chosen In Christ, A Study in the Book of Ephesians He has chosen us! He has adopted us! He has accepted us! He has redeemed us! He has forgiven us! He has sealed us! Ladies, you don’t want to miss these fundamental truths that are found in this precious and amazing book. This study will profoundly impact your understanding of your riches in Christ. Once you know how God sees you, you can face life’s challenges with confidence and resilience. You are special in the eyes of your God, and fully equipped with every spiritual blessing! You are Chosen in Christ! Materials: Study Guide Notebook ($10.00) will be available at the Ministry Center Open enrollment throughout the session Children’s ministry may be available for ages 2-10. Please register your child/children at www.messiahcconline.org (found under the resources tab)


THURSDAY FIGHT NIGHT PREREQUISITE Men ages 16 and up

Facilitators: Various Messiah (Men) Leaders Day/Time: Thursdays, 7:00pm - 8:30pm Location: Main Room Description: Messiah Men’s Ministry is helping men to explore authentic manhood and the critical issues that we as men face in our ever-changing culture. Men’s “Fight Night II” is planned to be more than just a rally or a Bible study, Fight Night II will focus on the “Man” and “His” story. Jesus’ life told a story, as every man’s life is designed to tell a story. In the pursuit of Authentic Manhood, every man must understand and come to grips with the defining moments and key relationships that have shaped his unique “story.” Fight Night II will use volume of 33 The Series: Volume 2, A man and His Story, which provides men with a biblical perspective of their “story.” It equips them to embrace how their past has affected their present and prepares them to deal with whatever the future may hold. In A Man and His Story, men from all walks of life will help men learn from their past, come alive in their present and enjoy God’s best in the future. Materials: 33 The Series, “A Man and His Story Training Guide” Vol. 2 (Books will be made available at Fight Night at a cost of $15.00) All men are welcome and invited to come on out and be a blessing to others. See you on Thursday night! Open enrollment throughout the session


Registration

Registration will begin Sunday, January 20, 2013 and can be completed online or by visiting the information table on Sunday’s after church. The registration form can be found by visiting: www.messiahcconline.org. If the class is available, you will receive a second email confirming that you are registered for the class. Any materials that are needed, can be purchased from the Resource Table in the Foyer of the Worship Center.

Cancellation

Messiah Community Church reserves the right to cancel or adjust any program that does not meet the minimum designated enrollment.

Refunds

The price paid for materials and books will not be refunded after the first week of class. Book exchanges can be made the first week of class.

Class Location

Classes are held at the Messiah Community Church Ministry Center 10715 Red Run Blvd. Suite 110, Owings, Mills, MD 21117

Parking

Plenty of parking is available in front of the Ministry Center.

Consent For Publication Of Photos

I authorize and give full consent to Messiah Community Church to publish and copyright all photographs in which I appear. I understand and agree that any such photographs may identify my name. I also understand and agree that my name may be included in photo captions on the Messiah Community Church website. I further agree that MCC may transfer, use or cause to be used these photographs and/or names in church brochures, newsletters, magazines, advertising posters, newspaper or magazine advertising, displays, slide presentations, Powerpoint presentations, videotapes, viewbooks, catalogs, all like publications or literature, and on the church’s internet web page or Facebook fan page without limitations or reservations.


Messiah Community Church Liability Waiver MEDICAL HISTORY/CONSENT FORM (Minor/Under 18 years of age) Date: ________________ Name of Student: _______________________________________________ Emergency Contact Name:__________________10-Digit Phone Number(s): ____________________ Name of primary care physician: _________________________________ Phone Number: ____________________________ Name of Health Insurance Provider: ______________ Policy Number: _________________________ I, (name of parents or guardian):______________________________________________ of the undersigned, of (address):_______________________________________________________________ City of _________________, County of _______________, State of ______________ am the parent or other legal guardian of (name of child) __________________________________ a minor of _________ years of age, of (address): __________________________________ City of _________________, County of ________________, State of ______________ (referred to herein as “Minor”). In the event of any accident, sudden illness, or medical emergency involving aforesaid minor, I hereby authorize the following staff members of Messiah Community Church, Inc. care the minor has been entrusted, to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care, deemed to be necessary by a licensed physician. This authorization is limited to the following dates: _________________________________________________. Signature of parent/ or guardian: __________________________________________________ Date: __________________ Signature of parent/ or guardian: __________________________________________________ Date: __________________ RECREATIONAL ACTIVITY LIABILITY RELEASE AGREEMENT (Under 18 years of age) The minor, ____________________________________ (herein “Participant”), wish to participate in a recreational activity (herein the “Activity”) sponsored by Messiah Community Church, Inc., a Maryland non-profit church (herein the “Church”). This Activity is scheduled to take place on an ongoing basis. Participant and Guardian understand that exercise, physical activity, cardiovascular, yoga, and other activities now available or that may become available in their various forms, (“collectively referred to hereinafter as “Activities”) are inherently dangerous activities involving many RISKS, DANGERS, AND HAZARDS. These risks, dangers and hazards include, but are not limited to, falling, collisions with objects, people or structures, being struck by other participants or objects, loose holds or other equipment failure, the actions of other participants including negligence or inexperience of the Participant’s, overuse injuries, the aggravation of preexisting conditions, or other foreseeable or unforeseeable events or circumstances. I understand that INJURIES OF ALL TYPES ARE A COMMON AND ORDINARY OCCURRENCE of the Activities. I know that the risk of SEVERE INJURY and even DEATH exists in the participation of the Activities. I also understand that maintenance of the Facility and equipment, training, coaching, instruction, supervision, enforcement or lack thereof of any rules or regulations, or any added safety measures (hereinafter “Associated Activities”) by Church, its subsidiaries, affiliates, officers, directors, employees, volunteers, agents, coaches, instructors, contractors, representatives, competition organizers and sponsors, and equipment providers do not and cannot guarantee my safety. I freely accept and expressly assume any and all risks that may arise from the Activities and Associated Activities. I Participant and Guardian hereby represent that I am fit and suffer from no adverse health condition or effect that would limit my ability to participate in my Activities offered by Church.


For and in consideration of Ministry allowing Participant to participate in the Activity and other good and valuable consideration the receipt and sufficiency of which is acknowledged, Participant and Participant’s personal representatives, assigns, heirs, distributees, guardians and next of kin (herein the “Releasors”) release, waive, discharge and covenant not to sue Ministry and its officers, employees, and agents (herein the “Releasees”), from all liability to the Releasors, on account of injury to Participant or death to Participant or injury to the property of Participant, whether caused by the negligence of Releasees or otherwise, while Participant is participating in the Activity. Participant and Guardian are fully aware of the Risks and other hazards inherent in the Activity and are allowing Participant to participate in the Activity, and voluntarily assumes the Risks and all other risks of loss, damage, or injury that may be sustained by Participant while participating in the Activity. Participant and Guardian acknowledge that as a part of this Release they shall be 100% liable to pay for all medical expenses resulting or to result from any injury incurred during, or as a result of, participation in the Activity. Furthermore, Participant and Guardian understand that Participant’s voice or image may be recorded at this Activity or in travel to and from the Activity location. Participant and Guardian irrevocably grant to Ministry the perpetual, royalty free license and permission to use, reuse, publish, republish Participant’s voice, likeness and photograph, and to the extent provided by Participant, name and biography, as included in video or audio recordings or photographs from the event, in whole or in part, at Ministry’s sole discretion, in conjunction with the Ministry Uses and promotion thereof. Ministry Uses include, but are not limited to, DVDs, photographs, cassettes, compact discs, transcripts and publications in written, electronic, digital and other formats now existing or later developed for sale, license, distribution, transmission or posting or download from the Internet. Participant and Guardian warrant that they have fully read and understand this Liability Release Agreement and voluntarily sign the same, and that no oral representations, statements or inducements apart from the foregoing written agreement have been made to Participant or Guardian. CAUTION: READ BEFORE SIGNING. Date: ___________________________________________________________________________ Participant Signature: _____________________________________________________________ Name Printed: ___________________________________________________________________ Parent/legal guardian #1 Signature: _________________________________________________ Name Printed: ___________________________________________________________________ Parent/legal guardian #2 Signature: _________________________________________________ Name Printed: ___________________________________________________________________


Messiah Community Church Liability Waiver

RECREATIONAL EXERCISE LIABILITY RELEASE AGREEMENT (18 years of age or older) I, ____________________________________ (herein “Participant”), wish to participate in a recreational activity (herein the “Activity”) sponsored by Messiah Community Church, Inc., a Maryland non-profit church (herein the “Church”). This Activity is scheduled to take place on an ongoing basis. I, Participant understand that exercise, physical activity, cardiovascular, yoga, and other activities now available or that may become available in their various forms, (“collectively referred to hereinafter as “Activities”) are inherently dangerous activities involving many RISKS, DANGERS, AND HAZARDS. These risks, dangers and hazards include, but are not limited to, falling, collisions with objects, people or structures, being struck by other participants or objects, loose holds or other equipment failure, the actions of other participants including negligence or inexperience of the Participant’s, overuse injuries, the aggravation of preexisting conditions, or other foreseeable or unforeseeable events or circumstances. I understand that INJURIES OF ALL TYPES ARE A COMMON AND ORDINARY OCCURRENCE of the Activities. I know that the risk of SEVERE INJURY and even DEATH exists in the participation of the Activities. I also understand that maintenance of the Facility and equipment, training, coaching, instruction, supervision, enforcement or lack thereof of any rules or regulations, or any added safety measures (hereinafter “Associated Activities”) by Church, its subsidiaries, affiliates, officers, directors, employees, volunteers, agents, coaches, instructors, contractors, representatives, competition organizers and sponsors, and equipment providers do not and cannot guarantee my safety. I freely accept and expressly assume any and all risks that may arise from the Activities and Associated Activities. I Participant hereby represent that I am fit and suffer from no adverse health condition or effect that would limit my ability to participate in any Activities offered by Church. For and in consideration of Church allowing Participant to participate in the Activity and other good and valuable consideration the receipt and sufficiency of which is acknowledged, Participant and Participant’s personal representatives, assigns, heirs, distributees, guardians and next of kin (herein the “Releasors”) release, waive, discharge and covenant not to sue Church and its officers, employees, and agents (herein the “Releasees”), from all liability to the Releasors, on account of injury to Participant or death to Participant or injury to the property of Participant, whether caused by the negligence of Releasees or otherwise, while Participant is participating in the Activity. Participant is fully aware of the Risks and other hazards inherent in the Activity and voluntarily assumes the Risks and all other risks of loss, damage, or injury that may be sustained by Participant while participating in the Activity. Participant acknowledges that as a part of this Release he/she shall be 100% liable to pay for all medical expenses resulting or to result from any injury incurred during, or as a result of, participation in the Activity. Furthermore, Participant understands that Participant’s voice or image may be recorded at this Activity or in travel to and from the Activity location. Participant irrevocably grants to Church the perpetual, royalty-free license and permission to use, reuse, publish, republish Participant’s voice, likeness and photograph, and to the extent provided by Participant, name and biography, as included in video or audio recordings or photographs from the event, in whole or in part, at Church’s sole discretion, in conjunction with the Church Uses and promotion thereof. Church Uses include, but are not limited to, DVDs, photographs, cassettes, compact discs, transcripts and publications in written, electronic, digital and other formats now existing or later developed for sale, license, distribution, transmission or posting or download from the Internet.


Participant warrants that he/she has fully read and understands this Liability Release Agreement and voluntarily signs the same, and that no oral representations, statements or inducements apart from the foregoing written agreement have been made to Participant. CAUTION: READ BEFORE SIGNING. Date: ___________________________________________________________________________ Participant Signature: _____________________________________________________________ Name Printed: ___________________________________________________________________ Witness Signature: ________________________________________________________________ Name Printed: ___________________________________________________________________


Messiah Community Church Liability Waiver

RECREATIONAL EXERCISE LIABILITY RELEASE AGREEMENT (18 years of age or older) I, ____________________________________ (herein “Participant”), wish to participate in a recreational activity (herein the “Activity”) sponsored by Messiah Community Church, Inc., a Maryland non-profit church (herein the “Church”). This Activity is scheduled to take place on an ongoing basis. I, Participant understand that exercise, physical activity, cardiovascular, yoga, and other activities now available or that may become available in their various forms, (“collectively referred to hereinafter as “Activities”) are inherently dangerous activities involving many RISKS, DANGERS, AND HAZARDS. These risks, dangers and hazards include, but are not limited to, falling, collisions with objects, people or structures, being struck by other participants or objects, loose holds or other equipment failure, the actions of other participants including negligence or inexperience of the Participant’s, overuse injuries, the aggravation of preexisting conditions, or other foreseeable or unforeseeable events or circumstances. I understand that INJURIES OF ALL TYPES ARE A COMMON AND ORDINARY OCCURRENCE of the Activities. I know that the risk of SEVERE INJURY and even DEATH exists in the participation of the Activities. I also understand that maintenance of the Facility and equipment, training, coaching, instruction, supervision, enforcement or lack thereof of any rules or regulations, or any added safety measures (hereinafter “Associated Activities”) by Church, its subsidiaries, affiliates, officers, directors, employees, volunteers, agents, coaches, instructors, contractors, representatives, competition organizers and sponsors, and equipment providers do not and cannot guarantee my safety. I freely accept and expressly assume any and all risks that may arise from the Activities and Associated Activities. I Participant hereby represent that I am fit and suffer from no adverse health condition or effect that would limit my ability to participate in any Activities offered by Church. For and in consideration of Church allowing Participant to participate in the Activity and other good and valuable consideration the receipt and sufficiency of which is acknowledged, Participant and Participant’s personal representatives, assigns, heirs, distributees, guardians and next of kin (herein the “Releasors”) release, waive, discharge and covenant not to sue Church and its officers, employees, and agents (herein the “Releasees”), from all liability to the Releasors, on account of injury to Participant or death to Participant or injury to the property of Participant, whether caused by the negligence of Releasees or otherwise, while Participant is participating in the Activity. Participant is fully aware of the Risks and other hazards inherent in the Activity and voluntarily assumes the Risks and all other risks of loss, damage, or injury that may be sustained by Participant while participating in the Activity. Participant acknowledges that as a part of this Release he/she shall be 100% liable to pay for all medical expenses resulting or to result from any injury incurred during, or as a result of, participation in the Activity. Furthermore, Participant understands that Participant’s voice or image may be recorded at this Activity or in travel to and from the Activity location. Participant irrevocably grants to Church the perpetual, royalty-free license and permission to use, reuse, publish, republish Participant’s voice, likeness and photograph, and to the extent provided by Participant, name and biography, as included in video or audio recordings or photographs from the event, in whole or in part, at Church’s sole discretion, in conjunction with the Church Uses and promotion thereof. Church Uses include, but are not limited to, DVDs, photographs, cassettes, compact discs, transcripts and publications in written, electronic, digital and other formats now existing or later developed for sale, license, distribution, transmission or posting or download from the Internet.


Participant warrants that he/she has fully read and understands this Liability Release Agreement and voluntarily signs the same, and that no oral representations, statements or inducements apart from the foregoing written agreement have been made to Participant. CAUTION: READ BEFORE SIGNING. Date: ___________________________________________________________________________ Participant Signature: _____________________________________________________________ Name Printed: ___________________________________________________________________ Witness Signature: ________________________________________________________________ Name Printed: ___________________________________________________________________


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