CHURCH PARTICIPATION WAIVER

Church Name *

Student Pastor Name *

Student Pastor Email *

Church/Student Pastor Number *

Church Address *

City *

State *

Zip *

Number of Leaders Expected *

Number of Students Expected *

I hereby willingly consent to have my Church Group (stated above) attend activities operated by Friendship Baptist Church. In the event that a student(s) from my group is injured while attending activities my church (stated above) agrees to take full responsibility. In signing this form, I also agree not to hold Friendship Baptist Church, its officers, employees, or other agents liable for any injury, loss, damage, or accident that my Church Group might encounter while attending this event. Student Pastor/Adult Leader Signature *

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