Church Event Liability Release Waiver Form
Please complete this form to participate in the church event and acknowledge the liability release terms.
Participant Details
Participant Full Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Event Participation Information
Event Name / Ministry or Activity
*
Please Select
Church Picnic
Youth Retreat
Bible Study
Worship Night
Community Service
Children's Ministry Event
Other
Event Date
*
-
Month
-
Day
Year
Date
Emergency Contact Name
*
First Name
Middle Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Liability Waiver and Authorization
Participant Signature
*
Submit
Submit
Should be Empty: