Sports Camp
June 22-24 | 6-8pm
Address: FBC Roanoke 209 N. Pine Street, Roanoke, TX 76262
Contact us at 817.491.2656 or info@fbroanoke.org
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CHILD'S NAME (First and Last) *
PARENT/GUARDIAN'S NAME (First and Last) *
ADDRESS *
PARENT'S EMAIL *
PARENT'S CELL PHONE *
Allergies (We will be serving snacks. Please let us know if your child has any food allergies.) *
CHILD'S AGE *
CHILD'S GRADE (Last grade completed) *
Emergency Contacts (Name and Phone Number) *
Dismissal Info: Who may pick up your child at the end of Sports Camp each night? (List first and last name of each approved person)
How did you hear about Sports Camp?
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May we have permission to photograph your child?
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May we have permission to use your child’s photograph for the purpose of promotion?
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LIABILITY RELEASE
ASSUMPTION OF RISK AND REPRESENTATION. The Participant understands, is aware of, and assumes all risks inherent in participating in the Ministry Event. These risks include those listed on Exhibit A, but are not limited to the hazards of road transportation, service projects, construction projects, illness or accident without immediate access to medical facilities, and the forces of nature. Any of such activities may result in serious bodily injury or death. The Participant represents that he/she possesses the necessary skills and fitness to participate in these activities safely and without super-vision.
RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE. The Participant and/or his or her personal representatives, assignees, insurer, heirs, executors, administrators, spouse and next of kin, hereby releases, waives, discharges and covenants not to sue FIRST BAPTIST CHURCH ROANOKE, a Texas nonprofit corporation (herein referred to as “Church”), and its directors, officers, employees, agents, volunteers, as well as its successors, assigns, affiliates, subordinates, and subsidiaries; and releases, waives and/or discharges all of the above from any and all liability to its as-signs, insurers, heirs, executors, administrators, spouses and next of kin for any and all loss, damage, or cost on account of injury to the Participant or his or her property, whether caused by negligence, or otherwise, while the Participant is participating in the ministry event and any other activities in connection therewith.
INDEMNITY. The Participant agrees to indemnify Church from any liability, loss, damage or cost that may incur due to the participation by the Participant in the Ministry Event, whether caused by the negligence of Church, or otherwise. The participant assumes full responsibility for, and risk of, bodily injury, death or property damage due to the negligence of other participants in the ministry event, or otherwise, while participating in the ministry event.
ARBITRATION. If a dispute over this agreement or any claim for damages arises, the Participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the Participant (or parent/guardian) and the Church cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel of the Institute for Christian Conciliation for final resolution. The Participant expressly agrees that this Assumption of Risk, Voluntary Release, and Indemnity Agreement (herein referred to as the “Agreement”), is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that, if any portion of this Agreement is held invalid, it is agreed that the balance, notwithstanding, shall continue in full legal force and effect.

I have read & agree to the First Baptist Church, Roanoke Liability Release. (By typing your name below you are stating that you have read and agreed.)
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