Activity Consent and Release from Liability Form
I hereby give my permission for my son/daughter (name)______________________________________
to attend (activity)_____________________________________________________________________
on (date(s) of activity)____________________________________.
I desire to participate in activities at Christ Community Church. In consideration of Christ Community
Church providing these activities, I do hereby release Christ Community Church, its officers, employees,
agents, and members of the Board of Elders from all claims and causes of action by reason of any injury
which may be sustained as a result of these church activities, whether on the church premises or on the
way to or from these activities.
It is further understood that we release the person presenting this form of all liabilities connected with
the transportation, diagnosis, treatment, hospital care and expenses necessary for the treatment of
my/our child.
Parent or Legal Guardian__________________________________ Date _________________________
Updated
5/21/14