Liability Release Form

In consideration for being accepted by Grace City Church for participation in City Groups, I do hereby release, forever discharge and agree to hold blameless, Grace City Church and the staff and administrators 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 including recreation, transportation and work activities.

The undersigned further hereby agrees to hold harmless and indemnify said church, its staff, administrators, 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 indemnify 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. 

Name of Participant *
Name of 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.
Acknowledgement of Release *
Date *
Name *