Vision Conference
Medical Release and Liability Form

Please fill out the following form (one per person)
in order for your child to participate in the conference.

First name

Last name

Phone

Date of Birth (MM/DD/YYYY)

Address

As the parent/guardian of the above named child, I give him/her permission to participate in the activities of Catalyst Youth Group at Vision Conference, Great Falls, MT November 2-4 2023. I release Christian City Church, New City Church, the Advance Network, and their representatives from any liability in the event of an accident enroute, during, or returning from the conference. I also authorize them to obtain any emergency medical attention that may be required during my child’s time with them.

Parent/Guardian Name

Parent/Guardian Signature (if using mobile, please turn horizontal)

Thanks for submitting!

Vision Conference
Medical Release and Liability Form

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Vision Conference Medical Release and Liability Form

Give

Baptism

Discover Track

Facility Use

Vision Conference
Medical Release and Liability Form