Event Liability Release Form We (and on the behalf of my family and other participants under my responsibility), release, forever discharge and agree to hold harmless Peace Of The Rock Ministries and all directors, and Rancho De La Roca and owners, vendors, volunteers, and sponsors from any and all liability, claims or demands for personal injury, death and property damage while said participants are involved in any and all activities of the above described event. BY FILLING OUT THIS FORM, I UNDERSTAND THE ABOVE.Name(Required) First Last Email(Required) PhoneEvent(Required)Car ShowFreedom FestChristmas Round UpOtherOther EventDate of Event(Required) MM slash DD slash YYYY minors I am signing this on behalf of minors accompanying me. List names of minors:Include last names, if different.Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I heard about this event from: Facebook Radio/Radio website Flyer Church Friend Retail Store Denton Record-Chronicle Road Sign Website Email Other I would like to know more about: Becoming an event volunteer National Day of Prayer Community Observance July 4th Christmas Roundup Ranch Rental for families, weddings, corporate events Ranch Rental for church events Becoming an event sponsor
