The undersigned desires to attend and/or participate in certain ministries, events, programs, functions, and activities (hereinafter referred to as “Activity”), sponsored by, connected with, or related to Trinity Baptist Church (hereinafter referred to as “Church”).

I understand and acknowledge that the Church will allow me to participate in any Church activity.  Likewise, the Church will permit me to participate based on my promise to hold the Church harmless from liability arising out of my attendance and/or participation in the Activity listed above. 

I have investigated—or will do so—all risks involved with my participation in all Activities.  Furthermore, I accept—on behalf of myself—any and all risks of personal or bodily injury to me or property damages associated with said Activity.

I understand and agree that it is possible that one or more pictures and/or video & audio recordings of me may be taken and/or made. I expressly grant the Church exclusive license to utilize such image or recording in its promotional and educational materials.  Further, I waive and release any and all rights and/or claims for damages I may have against the Church (or against its agents, employees, volunteers and contractors) from any and all claims, damages or actions of any nature whatsoever as a result of such use or display (including, but not limited to, claims pursuant to Chapter 540, Florida Statutes).

By signing this document, on behalf of myself, I hereby release and forever discharge the Church, its pastors, officers, directors and employees, agents and any parties volunteering on behalf of the Church from all claims, damages, costs or expenses of any kind arising out of or related to my attendance or participation in Church Activities.  I understand that this document is a full and complete release of all claims for personal or bodily injury and property damage which I might sustain as the results of my attendance and/or participation in any Church Activity, regardless of the specific cause thereof.  I further understand and agree that in the event of such personal or bodily injury to myself, or property damage, that I will not seek any type of recovery from, or bring any type of action whatsoever against, the Church or its pastors, officers, directors, employees, or agents.

I understand that, in the event I require medical or dental treatment while engaged in activities with Trinity Baptist Church, I hereby consent and give permission to the ministry’s sponsor or any adult counselor acting on behalf of the ministry with respect to the Activity, as agent for me, to consent to any X-ray examination; injections; anesthesia; medical, dental or surgical diagnosis and treatment; and hospital care and treatment advised and supervised by a physician, surgeon, or dentist (as appropriate) licensed to practice under the laws of the state where the services are rendered, either as an outpatient or in any hospital. To the best of my knowledge, I have listed above all of my medical allergies, medical information and pertinent information.