Activity Participation Agreement, Release Form, and Medical Consent

Use this form for all Children, Youth and Adult activities.


Download and print the Activity Participation Agreement, Release Form, and Medical Consent below.  When completed, please return the form to the Church Office, 58690 Ross Rd., Warren, OR 97053, during business hours, M-F, 9 am-4:30 pm.  If you have questions regarding the Activity Participation Agreement, Release Form, and Medical Consent, or need help completing this form, please contact the church office at 503.397.0405, or by email at office@heartbeatofgrace.com.

Activity Participation Agreement, Release Form, and Medical Consent

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