Section 1
Choose the Event Sponsor
Name *
Name
Date
Date
You must check this box to confirm signature. *
Address
Address
Phone
Phone
Section
Section 2
I/we hereby release the the Heights International Ministries, South Canonsburg Church, Evangelization Society or the Church at the Heights, its ministers, employees, and volunteer assistants from any and all liability whatsoever arising out of any injury, damage, or loss which may be sustained by said person during the course of involvement with HIM,SCC ES and/or the CATH. I/we release the Heights International Ministries, South Canonsburg Church, Evangelization Society or the Church at the Heights its ministers, employees, and volunteer assistants from any and all liability whatsoever arising from any violation of laws, statutes, or ordinances by said person during the course of involvement with the Heights International Ministries, South Canonsburg Church, Evangelization Society or the Church at the Heights.
Date
Date
You must check this box to confirm signature. *