Bubble Soccer and Bounce House Release Form

Bubble Soccer and Bounce House Release Form
Liability and Media Release Form
Name of Person Filling out the Form*

First NameLast Name
If below the age of 18, you will need parent/guardian permission. You can put the name(s) of minors in your care below to give them permission to participate in the event.
Name of Youth #1

First NameLast Name
Name of Youth #2

First NameLast Name
Name of Youth #3

First NameLast Name
Name of Youth #4

First NameLast Name
Phone Number
Please enter a valid phone number.
I hereby Cornerstone Christian Fellowship and its representatives from any and all liability that may be incurred by my child’s participation in this activity. I also hereby authorize those in charge to consent to and administer any medical aid necessary in case of emergency. I also give permission for Cornerstone to record and photograph bubble soccer, bounce house, etc. and use photos that may contain me or my child in promotional materials.
Signature*
Should be Empty:

Liability and Media Release Form