Lost Sheep Waiver Form for Under the Bridge Program

Liability Release Form

Release of All Claims

In consideration for being accepted by Lost Sheep Ministry for participation in any activity on or with Lost Sheep Ministry


We (I), being 18 years of age or older, do for ourselves (myself) (and for and on behalf of my child-participant if said child is not 18 years of age or older) do hereby release, forever discharge and agree to hold harmless Lost Sheep Ministry, its pastor, pastor’s council, trustees, and any employee, agent, driver, or any other person connected with said organization, 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/or the child-participant that occur while said child is participating in any activity on or with Lost Sheep Ministry.

              Furthermore, we (I) [and on behalf of our (my) child-participant if under the age of 18 years] hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein.

              Further, authorization and permission is hereby given to said organization to furnish any necessary transportation, food and lodging for this participant.

              The undersigned further hereby agree to hold harmless and indemnify said organization, its directors, employees, and agents, for any liability sustained by said organization as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.

If under 18, participants need a parent or guardian signature.  By typing your name here, you are signing this application electronically for you and/or your minor. You agree your electronic signature is the legal equivalent of your manual signature on this application.  If participant is 18 or over, just type your name again.

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T: (865) 688-9636

F: (865) 688-2133

E: info@knoxvilledreamcenter.org

1444 Breda Dr. Knoxville, TN 37918

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