106 Grand Ave NW
Fort Payne, AL 35967-2032


2015 Church Liability Form for Children/Students

Please click below to print and then fill out both pages for each person.  Liability forms must be notarized and include a copy of current medical insurance.  Please bring the completed and notarized form to the church office along with a copy of the participant's medical insurance card.  Copies of insurance cards can be made in the church office.  Hard copies of the form are also available in the church office.