CMBC Next Gen 30th Church Anniversary Alley Cats Events

For our 30th Anniversary, we're taking our Next Gen Ministry to Alley Cats for fun and fellowship! FREE for members only!

Non-members of CMBC the fee will be $27.00 per person.

February 12, 2023 @ 9:00 am - 11:00 am

Deadline: February 8, 2023 @ 5:00 pm

Parent Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Number of Kids Attending*

Number of Adult Attending*

1. Child Name

First NameLast Name

1. Child Member of CMBC

YesNo

2. Child Name

First NameLast Name

2. Child Member of CMBC?

YesNo

3. Child Name

First NameLast Name

3. Child Member of CMBC?

YesNo

4. Child Name

First NameLast Name

4. Child Member of CMBC?

YesNo

5. Child Name

First NameLast Name

5. Child Member of CMBC?

YesNo

1. Adult Name

First NameLast Name

1. Adult Member of CMBC?

YesNo

2. Adult Name

First NameLast Name

2. Adult Member of CMBC?

YesNo

PARENT/GUARDIAN - RELEASE FORM

REQUIRED FOR STUDENT PARTICIPATION IN

COMMUNITY MISSIONARY BAPTIST CHURCH (CMBC)

PROGRAM AND FIELD TRIP/TOUR/EXCURSION

{1Child} is my child and is now under my control and in my custody.

I/we desire my child to participate in the CMBC Program. In consideration of my child being accepted by the CMBC Program, I/we hereby relieve and release Community Missionary Baptist Church, its directors, officers, employees, agents, and servants, together with those persons assisting with any phase of the CMBC Program, from any and all liabilities, claims, and responsibilities for my child participating in the CMBC Program. I/we further release all of these parties from liability, by reason of any accident or injury suffered by my child while participating in the CMBC Program.

I/we desire my child to go on any and all field trips/tours/excursions and participate in any and all activities of the CMBC program. I/we agree that in allowing my child to go on these trips I/we will hold Community Missionary Baptist Church, its Directors, officers, employees, and servants, together with those persons assisting with any phase of the Summer Program harmless from any and all liability, claims, and responsibility for making such trips and activities. I/we further release all of these parties from liability, by reason of any accident or injury that might occur while on the trips or participating in such activities.

The undersigned further hereby agree to indemnify and hold Community Missionary Baptist Church, its directors, officers, employees, agents, and servants harmless from all claims hereinafter made or asserted on behalf of said child-participant

PARENT/GUARDIAN - RELEASE FORM

REQUIRED FOR STUDENT PARTICIPATION IN

COMMUNITY MISSIONARY BAPTIST CHURCH (CMBC)

PROGRAM AND FIELD TRIP/TOUR/EXCURSION

{2Child} is my child and is now under my control and in my custody.

I/we desire my child to participate in the CMBC Program. In consideration of my child being accepted by the CMBC Program, I/we hereby relieve and release Community Missionary Baptist Church, its directors, officers, employees, agents, and servants, together with those persons assisting with any phase of the CMBC Program, from any and all liabilities, claims, and responsibilities for my child participating in the CMBC Program. I/we further release all of these parties from liability, by reason of any accident or injury suffered by my child while participating in the CMBC Program.

I/we desire my child to go on any and all field trips/tours/excursions and participate in any and all activities of the CMBC program. I/we agree that in allowing my child to go on these trips I/we will hold Community Missionary Baptist Church, its Directors, officers, employees, and servants, together with those persons assisting with any phase of the Summer Program harmless from any and all liability, claims, and responsibility for making such trips and activities. I/we further release all of these parties from liability, by reason of any accident or injury that might occur while on the trips or participating in such activities.

The undersigned further hereby agree to indemnify and hold Community Missionary Baptist Church, its directors, officers, employees, agents, and servants harmless from all claims hereinafter made or asserted on behalf of said child-participant

PARENT/GUARDIAN - RELEASE FORM

REQUIRED FOR STUDENT PARTICIPATION IN

COMMUNITY MISSIONARY BAPTIST CHURCH (CMBC)

PROGRAM AND FIELD TRIP/TOUR/EXCURSION

{3Child} is my child and is now under my control and in my custody.

I/we desire my child to participate in the CMBC Program. In consideration of my child being accepted by the CMBC Program, I/we hereby relieve and release Community Missionary Baptist Church, its directors, officers, employees, agents, and servants, together with those persons assisting with any phase of the CMBC Program, from any and all liabilities, claims, and responsibilities for my child participating in the CMBC Program. I/we further release all of these parties from liability, by reason of any accident or injury suffered by my child while participating in the CMBC Program.

I/we desire my child to go on any and all field trips/tours/excursions and participate in any and all activities of the CMBC program. I/we agree that in allowing my child to go on these trips I/we will hold Community Missionary Baptist Church, its Directors, officers, employees, and servants, together with those persons assisting with any phase of the Summer Program harmless from any and all liability, claims, and responsibility for making such trips and activities. I/we further release all of these parties from liability, by reason of any accident or injury that might occur while on the trips or participating in such activities.

The undersigned further hereby agree to indemnify and hold Community Missionary Baptist Church, its directors, officers, employees, agents, and servants harmless from all claims hereinafter made or asserted on behalf of said child-participant

PARENT/GUARDIAN - RELEASE FORM

REQUIRED FOR STUDENT PARTICIPATION IN

COMMUNITY MISSIONARY BAPTIST CHURCH (CMBC)

PROGRAM AND FIELD TRIP/TOUR/EXCURSION

{4Child} is my child and is now under my control and in my custody.

I/we desire my child to participate in the CMBC Program. In consideration of my child being accepted by the CMBC Program, I/we hereby relieve and release Community Missionary Baptist Church, its directors, officers, employees, agents, and servants, together with those persons assisting with any phase of the CMBC Program, from any and all liabilities, claims, and responsibilities for my child participating in the CMBC Program. I/we further release all of these parties from liability, by reason of any accident or injury suffered by my child while participating in the CMBC Program.

I/we desire my child to go on any and all field trips/tours/excursions and participate in any and all activities of the CMBC program. I/we agree that in allowing my child to go on these trips I/we will hold Community Missionary Baptist Church, its Directors, officers, employees, and servants, together with those persons assisting with any phase of the Summer Program harmless from any and all liability, claims, and responsibility for making such trips and activities. I/we further release all of these parties from liability, by reason of any accident or injury that might occur while on the trips or participating in such activities.

The undersigned further hereby agree to indemnify and hold Community Missionary Baptist Church, its directors, officers, employees, agents, and servants harmless from all claims hereinafter made or asserted on behalf of said child-participant

PARENT/GUARDIAN - RELEASE FORM

REQUIRED FOR STUDENT PARTICIPATION IN

COMMUNITY MISSIONARY BAPTIST CHURCH (CMBC)

PROGRAM AND FIELD TRIP/TOUR/EXCURSION

{5Child} is my child and is now under my control and in my custody.

I/we desire my child to participate in the CMBC Program. In consideration of my child being accepted by the CMBC Program, I/we hereby relieve and release Community Missionary Baptist Church, its directors, officers, employees, agents, and servants, together with those persons assisting with any phase of the CMBC Program, from any and all liabilities, claims, and responsibilities for my child participating in the CMBC Program. I/we further release all of these parties from liability, by reason of any accident or injury suffered by my child while participating in the CMBC Program.

I/we desire my child to go on any and all field trips/tours/excursions and participate in any and all activities of the CMBC program. I/we agree that in allowing my child to go on these trips I/we will hold Community Missionary Baptist Church, its Directors, officers, employees, and servants, together with those persons assisting with any phase of the Summer Program harmless from any and all liability, claims, and responsibility for making such trips and activities. I/we further release all of these parties from liability, by reason of any accident or injury that might occur while on the trips or participating in such activities.

The undersigned further hereby agree to indemnify and hold Community Missionary Baptist Church, its directors, officers, employees, agents, and servants harmless from all claims hereinafter made or asserted on behalf of said child-participant

Date*

Date

Signature*

Clear