KICKBALL REGISTRATION


Emergency Contact

Medical Release

I, the above name, undersigned, acknowledge that participation in recreational sports such as kickball involves physical activity and may carry a risk of injury. I voluntarily assume all risks associated with participation in this activity hosted by Fairfield Baptist Church.

I certify that I am physically able to participate and have no known medical conditions or restrictions that would prevent me from safely engaging in kickball. If I have any medical concerns, I will consult a physician before participating.


In the event of illness or injury, I authorize Fairfield Baptist Church to seek and secure appropriate medical treatment for me (or my child if under 18), and I assume all responsibility for any medical expenses incurred.

By signing below, I release and hold harmless Fairfield Baptist Church, its Governance Board, its staff, volunteers, and representatives from any and all liability, claims, or causes of action arising from participation in this event here.