Men’s Bonfire & Cornhole

I give my consent that the information given at registration may be communicated with leaders and volunteers for the purpose of being equipped to provide the best care and assistance possible to my family.
I give my consent that photographs, interviews, and audio/visual recordings taken during the event may be used by Barren Heights & Christ Community Church of Shelbyville for training, promotion, and fundraising.
I release Barren Heights & Christ Community Church of Shelbyville, their directors, volunteers, and the Men’s Bonfire & Cornhole host residence from all actions, damages, or personal injuries which may occur to me or a member of my family. I understand that in the event of a minor injury, I, or a member of my family may receive first aid treatment. I will be informed as soon as possible of any injury or condition of one of my family members and will be responsible thereafter for their care. In the event of an emergency, injury, or illness, emergency medical services and I will decide the best course of action. If the leaders are unable to reach me, I authorize them to take whatever action is necessary for the safety and health of my family members.
I understand that in order for everyone to experience a sense of calm, peaceful relaxation, this event is an alcohol, drug, and smoke-free environment. Use of cell phones is discouraged except when necessary.
By checking this and the above statements and submitting this registration form, I hereby agree to this hold harmless form and all its contents. I waive on behalf of myself, my heirs, and any personal representatives all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss. I understand that this release discharges Barren Heights, Christ Community Church of Shelbyville, & the Men’s Bonfire & Cornhole host residence from any liability or claim that I, my heirs, or any personal representatives may have against them with respect to any bodily injury, illness, death, negligence, medical treatment, or property damage that may arise from, or in connection to any services rendered. This liability waiver and release extends to Barren Heights, Christ Community Church of Shelbyville, and the Men’s Bonfire & Cornhole host residence together with all owners, partners, volunteers, and employees.

Please complete the form below to register (required).

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