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Cross Roads Baptist Church / Centershot Ministries 2026 Registration Form

Please note:  A fee of $65 per child registered is required at the time the registration form has been completed. Registrations left unpaid will NOT be saved.
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    • 3rd Grade
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    Are there any allergies or dietary restrictions we should be aware of?
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  • 14

    Waiver and Release of Liability Agreement 

    For Cross Roads Baptist Church, Centershot Ministries, and Related Centershot Programs

     

    In consideration and exchange for the opportunity of my child being allowed to participate in a Centershot Ministries (“CENTERSHOT”) related event, Cross Roads Baptist Church, North Pole, AK and Centershot Ministry instruction, I agree as follows:

    1) I am the Legal Guardian of the registered child who has qualified for and is being allowed to participate in a CENTERSHOT related event and CENTERSHOT instruction through Cross Roads Baptist Church, North Pole, AK.

    2) On behalf of my spouse, minor child, our heirs, executors, administrators and assigns, hereby waive, release and forever discharge the CENTERSHOT and CROSS ROADS BAPTIST CHURCH, its officers, directors, employees, volunteers and sponsors from legal liability any and all actions, suits, damages, claims or judgments for damages or expenses that may result from any personal injury, loss of property or property damage, or any other claim, demand, action or right of action, of whatever kind or nature, either in law or in equity, regardless of fault, arising from or by reason of my child being allowed to participate and compete in a CENTERSHOT related event and CENTERSHOT ministries instruction through Cross Roads Baptist Church, North Pole, AK;

    3) In consenting or releasing for my minor child, I (we) do further hereby agree to release CENTERSHOT, Cross Roads Baptist Church, North Pole AK and, its officers, directors, employees, volunteers and sponsors, against any actions, claims or demands by said minor child or by any other person or persons on account of damages of any character resulting in any way from said minor child’s participation and competing in a CENTERSHOT related event and CENTERSHOT via Cross Roads Baptist Church, North Pole, AK. We also hereby agree to reimburse and make good to CENTERSHOT and Cross Roads Baptist Church, North Pole, AK any loss, damage or costs it may have to pay as a result of any such action, claim or demand;

    4) Should it be required during the Centershot related event or instruction at Cross Roads Baptist Church, North Pole, AK or any other venue used for instruction or related event through Cross Roads Baptist Church, North Pole, AK, I acknowledge that I authorize medical treatment of my child by a qualified medical professional; 

    5) PHOTOS: I acknowledge I have been advised and made aware that there will be photographers and videographers at the events taking photos of participants during the CENTERSHOT and CROSS ROADS BAPTIST CHURCH related event, and that I consent to allow CENTERSHOT and/or CROSS ROADS BAPTIST CHURCH to take pictures of my child and to use any photos, videos or likenesses of my child in future events or promotional efforts without compensation;

    6) I, the undersigned, further expressly agree that the foregoing release, waiver and indemnity agreement is intended to be as broad as inclusive as is permitted by law, and that if any portion of it is held invalid by the appropriate court of competent jurisdiction, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect;

    7) I, the releasor, have read and voluntarily sign this release and waiver of liability and indemnity agreement, and further agrees that no oral representations, statements or inducements apart from the foregoing written agreement have been made;

    8) I, the releasor, further state that I am of lawful age, am legally competent, and have full legal authority to sign this affirmation and release on behalf of my minor child; that I understand the terms herein are contractual and not a mere recital; and that I have signed this document as my own free act;

    9) I, the releasor, have fully informed myself of the contents of this affirmation, waiver and release by reading it before signing it with full knowledge of its significance, intending to be legally bound thereby; and

    10) I, the releasor, agree that should any lawsuit or other action, regardless of the nature of the claim arise under this agreement, it shall be brought in a court of competent jurisdiction within the state of Alaska and tried without a jury. All parties to this agreement hereby submit to the jurisdiction of such courts.

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    Waiver and Release of Liability Agreement For Cross Roads Baptist Church, Centershot Ministries, and Related Centershot Programs In consideration and exchange for the opportunity of my child being allowed to participate in a Centershot Ministries (“CENTERSHOT”) related event, Cross Roads Baptist Church, North Pole, AK and Centershot Ministry instruction, I agree as follows: 1) I am the Legal Guardian of the registered child who has qualified for and is being allowed to participate in a CENTERSHOT related event and CENTERSHOT instruction through Cross Roads Baptist Church, North Pole, AK. 2) On behalf of my spouse, minor child, our heirs, executors, administrators and assigns, hereby waive, release and forever discharge the CENTERSHOT and CROSS ROADS BAPTIST CHURCH, its officers, directors, employees, volunteers and sponsors from legal liability any and all actions, suits, damages, claims or judgments for damages or expenses that may result from any personal injury, loss of property or property damage, or any other claim, demand, action or right of action, of whatever kind or nature, either in law or in equity, regardless of fault, arising from or by reason of my child being allowed to participate and compete in a CENTERSHOT related event and CENTERSHOT ministries instruction through Cross Roads Baptist Church, North Pole, AK; 3) In consenting or releasing for my minor child, I (we) do further hereby agree to release CENTERSHOT, Cross Roads Baptist Church, North Pole AK and, its officers, directors, employees, volunteers and sponsors, against any actions, claims or demands by said minor child or by any other person or persons on account of damages of any character resulting in any way from said minor child’s participation and competing in a CENTERSHOT related event and CENTERSHOT via Cross Roads Baptist Church, North Pole, AK. We also hereby agree to reimburse and make good to CENTERSHOT and Cross Roads Baptist Church, North Pole, AK any loss, damage or costs it may have to pay as a result of any such action, claim or demand; 4) Should it be required during the Centershot related event or instruction at Cross Roads Baptist Church, North Pole, AK or any other venue used for instruction or related event through Cross Roads Baptist Church, North Pole, AK, I acknowledge that I authorize medical treatment of my child by a qualified medical professional;  5) PHOTOS: I acknowledge I have been advised and made aware that there will be photographers and videographers at the events taking photos of participants during the CENTERSHOT and CROSS ROADS BAPTIST CHURCH related event, and that I consent to allow CENTERSHOT and/or CROSS ROADS BAPTIST CHURCH to take pictures of my child and to use any photos, videos or likenesses of my child in future events or promotional efforts without compensation; 6) I, the undersigned, further expressly agree that the foregoing release, waiver and indemnity agreement is intended to be as broad as inclusive as is permitted by law, and that if any portion of it is held invalid by the appropriate court of competent jurisdiction, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect; 7) I, the releasor, have read and voluntarily sign this release and waiver of liability and indemnity agreement, and further agrees that no oral representations, statements or inducements apart from the foregoing written agreement have been made; 8) I, the releasor, further state that I am of lawful age, am legally competent, and have full legal authority to sign this affirmation and release on behalf of my minor child; that I understand the terms herein are contractual and not a mere recital; and that I have signed this document as my own free act; 9) I, the releasor, have fully informed myself of the contents of this affirmation, waiver and release by reading it before signing it with full knowledge of its significance, intending to be legally bound thereby; and 10) I, the releasor, agree that should any lawsuit or other action, regardless of the nature of the claim arise under this agreement, it shall be brought in a court of competent jurisdiction within the state of Alaska and tried without a jury. All parties to this agreement hereby submit to the jurisdiction of such courts. My electronic signature on this form means that I understand and agree to all of the above & consent for my child to participate.
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    Please note: A payment of $65 per child registration must be completed to secure your child's spot. Thank you.
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