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C3 Students Medical and Liability Release
The complete form covers events from January 1st, 2018 through December 31st, 2019. If you have any questions, please contact Richmond Howard at (512-913-3013) or

In consideration of the benefits derived from my participation with C3 Student Ministry (C3SM) events and administratively organized by Christ Community Church, I do hereby voluntarily release, acquit, and forever discharge Christ Community Church, the organizers, all host persons providing use of or access to their homes or property for the event, and its directors, officers, employees, representatives and agents (collectively “releases persons”) from all manner of suits, actions, claims, demands, and liabilities which may arise from my participation in the trip, which I might be able to assert now or in the future.

I recognize that during this C3 Student event, I may be involved in indoor and outdoor activities and transportation by C3 leader, parents, or other C3 adults.

I realize further that there are certain health risks as well as other risks, to me and my property, and I enter into participation in this trip with knowledge of those risks.

I understand that this document constitutes a full and complete waiver of all possible claims, including claims for negligence of the released persons resulting in personal injury or property damage, arising out of or connected with my participation in this trip.

No provision of this document shall, in any way, limit my right to make claims against persons other than the released persons.

Photos and/or videos taken from C3SM events may be used for promotion or social media purposes. If you do not want any photos of your child posted on our private media accounts or, please email with written notification.

Please state your name of the participant below to recognize, understand, and submit to the above statements. (child's name) *
Your answer
If the participant is under 18 years of age, the participant's Parent/Guardian must sign here. If the participant is 18 years of age or older, leave this blank. (parent's name)
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