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Golf Tournament Medical Release Form
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Please make sure the YEAR of your birth (below) is listed accurately.
(The default year is the current year)
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By selecting this box, I am declaring to be in good health and physical condition and fully understand the dangers involved in this type of exercise.
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I knowingly assume any and all risk, known or unknown to me, associated with my participation in this event.
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Name of Emergency Contact
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I am interested in these sports @ HUMC
(please select all that apply)
Baseball league (youth)
Basketball league (youth)
Golf Tournament
Flag Football league (youth)
Pickleball (adult)
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Soccer league (adults)
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(select all that apply)
Children's Ministry (nursery to 5th grade)
Student Ministry (6th to 12th grade)
Men's Ministry
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LKN Singles Ministry
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HUMC Weekly e-news
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