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I hereby, for myself, my heirs, executors, and administrators, waive and forever discharge any all right and claims for damages which I may have or which may hereafter accrue to me against Team Church, their members, respective officers, agents, representatives, successors, and/or assigns, individually or collectively for any and all damages and liabilities which may be sustained and suffered by me in connection with my association with or arising out of my traveling with, participation in and returning from any activity or event sponsored by Team Church. The minors and others whose names and signatures are attached to this document do hereby consent to any and all medical and surgical treatments including anesthesia and operations, which may be deemed advisable by his or her physician and surgeons. I (we) understand that in the event medical treatment is required, every effort will be made to contact me. However, if I cannot be reached, I give permission to the staff or sponsor to secure the services of a licensed physician to provide the necessary care for my child’s well being. In witness of our consent and agreement to the matters stated in the preceding sentences, we have subscribed our signature to this document.

Dated: March 12, 2025

First Adult/Leader Name

First Name*

Last Name*

Phone*
First Adult/Leader Date of Birth*
First Adult/Leader Information
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First Adult/Leader Signature*
Second Adult/Leader Name

First Name*

Last Name*
Second Adult/Leader Date of Birth*
Second Adult/Leader Information
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Third Adult/Leader Name

First Name*

Last Name*
Third Adult/Leader Date of Birth*
Third Adult/Leader Information
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Fourth Adult/Leader Name

First Name*

Last Name*
Fourth Adult/Leader Date of Birth*
Fourth Adult/Leader Information
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Fifth Adult/Leader Name

First Name*

Last Name*
Fifth Adult/Leader Date of Birth*
Fifth Adult/Leader Information
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Sixth Adult/Leader Name

First Name*

Last Name*
Sixth Adult/Leader Date of Birth*
Sixth Adult/Leader Information
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Seventh Adult/Leader Name

First Name*

Last Name*
Seventh Adult/Leader Date of Birth*
Seventh Adult/Leader Information
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Eighth Adult/Leader Name

First Name*

Last Name*
Eighth Adult/Leader Date of Birth*
Eighth Adult/Leader Information
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Ninth Adult/Leader Name

First Name*

Last Name*
Ninth Adult/Leader Date of Birth*
Ninth Adult/Leader Information
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Tenth Adult/Leader Name

First Name*

Last Name*
Tenth Adult/Leader Date of Birth*
Tenth Adult/Leader Information
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Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
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Please list any allergies or medical concerns:
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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