Liability Waiver: This waiver is valid for all children in your care for all events under Bridge Family Ministry in the year 2025. Please answer all questions to the best of your ability. Please note if you do not know some of the information requested about a child in your care. If the children in your care changes you will need to come back and fill this out again before you attend an event. Thank you!
*
Bridge Family Ministries Parent’s Night Out, Teen night, Family Fellowship Event or any other event in association with Bridge Family Ministries. Parental/Legal Guardian Consent Form and Indemnity. Event Date: Events Held from January 1 to December 31, 2025, on the Premises of: New Heights Chapel: Believers Chapel: The Experience Community Church: ETC Gymnastics Murfreesboro: Trinity Presbyterian Church: Blackman Baptist Church: North Blvd Church of Christ East: North Blvd Church of Christ West: Fortified Fitness: New Vision Baptist Church: Reformed Fellowship Church: And any other locations where events are hosted. If you attend an event you are agreeing to a release of liability for that location, Brent and Anna Morgan, business or home owners, and the Bridge Family Ministries Volunteers. Persons In Charge: Brent Morgan and Anna Morgan with Bridge Family Ministries.
*
Parent Name
*
First Name
Last Name
Other Parent's Name
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Other Parent's Phone
(###)
###
####
Email
*
Names, Birthdate, Age of Children
*
In this space, please list name, birthday, and age of all children in your care.
Allergy Information
*
Please list any allergies or special food needs for any children in your care.
Medical Information
*
Health Plan Provider Group Number:
Policy Number:
Health Plan Provider Phone Number:
I, (sign name below to agree to this statement) grant permission for the child(ren) listed above to attend and participate in events with Bridge Family Ministries at the locations listed above and any other location that hosts an event in partnership with Bridge Family Ministries. I warrant that the child(ren) listed above are in good health. In consideration of his/her/their participation I agree to indemnify all organizations/churches, Bridge Family Ministries, the staff, and volunteers, in the event that he/she/they get(s) hurt while attending said event. I understand that if my child(ren) become unwilling to follow guidelines (respecting others and cooperating with leaders & other children), while in attendance, that I will be notified and asked to come and pick them up prior to the ending time of the event. EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I give permission to transport my child(ren) listed above to a hospital for medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any emergency, if you are not able to reach me at the above numbers, contact the Emergency Contact listed above.
*
By Checking this box I agree that I have read the liability waiver, input true information, and agree to the terms.
*
If you have questions you would like to have answered before signing please contact Brent Morgan, 615-584-8053 or e-mail, bridgefamilyministries@gmail.com.
Yes
Name
*
First Name
Last Name
Date
*
MM
DD
YYYY