Children/Youth Event Travel Release Form
Participant Name
First Name
Last Name
Participant Age
Event Name
Event Location
Date of Event
-
Month
-
Day
Year
Date
Special Instructions
I, the undersigned, am the parent or legal guardian of the participant named above and hereby give permission for my child to participate in any and all activities associated with the above-mentioned event organized by Twelfth Avenue Baptist Church. This includes riding in any vehicle designated by Twelfth Avenue Baptist Church, its employees and adult volunteers while participating in and traveling to and from these events. I acknowledge that participation in this event may involve risks including, but not limited to, travel risks, physical activity, injury, illness, and unforeseeable incidents. I voluntarily assume all such risks on behalf of my son/daughter.In consideration of my child being allowed to participate, I hereby release, discharge, and hold harmless Twelfth Avenue Baptist Church, its pastors, employees, agents, and volunteers from any and all claims of liability, loss, or injury, including death, that may be sustained by my child while participating in this event or traveling to/from the event, whether caused by negligence or otherwise.
Parent/Guardian/Participant (if 18+) Name
Parent/Guardian Phone Number
Date
Parent/Guardian Signature
*
Continue
Continue
Should be Empty: