MEDICAL/LIABILITY RELEASE FORM 2026

MEDICAL/LIABILITY RELEASE FORM 2026
Please read and complete the following form to participate in the following listed activity. Kids Camp 2026 || July 12-14, 2026
Participant's Information:
Name:
Date of Birth:

MonthDayYear
Date
Age:
Parent/Guardian Information
Name:
Phone Number:
Format: (000) 000-0000.
I understand that all reasonable safety precautions will be taken by Liberty Baptist Church and its agents during all hours and activities of this event I also understand the possibility of unforeseen hazards and know the inherent possibility of risk. I hereby agree to release and forever discharge, and agree to hold harmless, Liberty Baptist Church, its leaders, employees and volunteer staff from any liability, and claims for damages, losses, sickness or injuries. I understand that if medical attention is needed, for this child during thus activity, every attempt will be made to consult the listed contact person on the activity form. If, however, the persons listed cannot be reached, I give my permission to the activity leader to secure the services of a licensed physician or surgeon to provide medical services deemed necessary for the well-being of the child.
Parent/Guardian Signature:
Date:

MonthDayYear
Date
Should be Empty: