• In consideration for being accepted by First Baptist Church of Clinton for participation in FBC LIFEGroups, I do hereby release, forever discharge and agree to hold blameless, First Baptist Church of Clinton and the staff and directors thereof, from any and all liability, claims or demands for personal injury, sickness or death as well as property damage and expenses of any nature whatsoever, which may be incurred by the undersigned and the participant that occur while said person is participating in the above described trip or activity or recreation, transportation and work activities. The undersigned further hereby agrees to hold harmless and indemnify said church, its staff and directors and agents for any liability sustained by said participant, including expenses incurred attendant thereto. The undersigned further consents to the administration of first-aid and/or doctor's care, or any other form of medical treatment necessitated by illness or injury that may require the same. In the event of the necessity of such care or treatment as heretofore described, the undersigned agrees to hold harmless and indemnity said church, its directors, staff and agents from any acts of malfeasance, and/or failure to act on the part of those chosen to administer medical care on behalf of the participant.
  • Electronic Signature

    I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
  • MM slash DD slash YYYY
  • (Parent/Guardian if under 18) It is understood that, as guardians, we are responsible for all medical costs, and that we will not hold First Baptist Church of Clinton or its sponsors liable for any injuries or damage incurred.