Release Forms, Applications and More

Neither Church Mutual nor the attorneys who developed the forms warrant that they are appropriate for use by your organization. The forms are samples and might not be appropriate for your specific needs or organization. Usage of such forms is not a substitute for good practice, supervision and diligent oversight and control.

Please read the disclaimer on each form. We strongly recommend that you have a local attorney review the forms before you use them. Your attorney is in a better position to make certain that the forms are correct and current under the laws of your particular jurisdiction, and that a particular form meets your specific needs.

The PDF forms offered on this website were developed by:

McKay, Byrne & Graham
3250 Wilshire Boulevard, Suite 603
Los Angeles, CA 90010-1578
(213) 386-6900
jmckay@mbglaw.com

Mersereau Shannon, LLP
Karen M. Vickers, Partner
One Southwest Columbia Street, Suite 1600
Portland, OR 97258
(503) 226-6400
kvickers@mershanlaw.com

McKay, de Lorimier & Acain
3250 Wilshire Boulevard, Suite 603
Los Angeles, CA 90010-1578
(213) 386-6900
pdelorimier@mbglaw.com

Ruder Ware, L.L.S.C.
Ronald J. Rutlin, Esq.
Sara J. Ackermann, Esq.
500 Third Street, Suite 700
P.O. Box 8050
Wausau, WI 54403
(715) 845-4336
rrutlin@ruderware.com
sackermann@ruderware.com

Hermes Sargent Bates, LLP
Kristen B. Blanford, Partner
Dwayne J. Hermes, Founding Partner
901 Main Street, Suite 5200
Dallas, Texas 75202
(214) 749-6000
kristen.blanford@hsblaw.com
dwayne.hermes@hsblaw.com
 


Forms

CM0181-2020-01-RC-Sample-Photo-Release-Form

Sample Photo Release Form

View and Print

CM0182-2020-01-RC-Texas-Charitable-Immunity-and-Liability-Act

Texas Charitable Immunity and Liability Act

Hermes Sargent Bates, LLP

View and Print

CM0180-2020-01-RC-Sample-Social-and-Digital-Media-Code-of-Conduct

Sample Social and Digital Media Code of Conduct

Hermes Sargent Bates, LLP

View and Print

CM0179-2020-01-RC-Sample-Acceptable-Use-Policy-for-Wireless-Internet

Sample Acceptable Use Policy for Wireless Internet

View and Print

CM0178-2020-01-RC-Release-Waiver-and-Indemnity-Agreement-For-use-with-minors

Release, Waiver, and Indemnity Agreement (For use with minors)

McKay, Byrne and Graham

View and Print

CM0169-2020-01-RC-Authorization-for-Medical-Treatment

Authorization for Medical Treatment

(State-specific sample — California)
McKay, Byrne and Graham

View and Print

CM0174-2020-01-RC-Indemnity--Release-Form-For-use-w-adults

Indemnity and Release Form (For use with adults)

Mersereau Shannon, LLP

View and Print

CM0170-2020-01-RC-Building-Facility-Use-Agreement

Building/Facility Use Agreement

McKay, de Lorimier & Acain

View and Print

CM0167-2020-01-RC-At-Will-Employment-Policy

At-Will Employment Policy

Ruder Ware, L.L.S.C.

View and Print

CM0171-2020-01-RC-Discipline-Policy

Discipline Policy

Ruder Ware, L.L.S.C.

View and Print

CM0173-2020-01-RC-Equal-Employment-Opportunity-Statement

Equal Employment Opportunity Statement

Ruder Ware, L.L.S.C

View and Print

CM0166-2020-01-RC-Anti-Harassment-Policy

Anti-Harassment Policy

Ruder Ware, L.L.S.C

View and Print

CM0172-2020-01-RC-Employment-Application-2019

Employment Application

Hermes Sargent Bates, LLP

View and Print

CM0183-2020-01-RC-Volunteer-Application

Volunteer Application

Hermes Sargent Bates, LLP

View and Print

CM0177-2020-01-RC-Reference-Check-Form

Reference Check Form

Hermes Sargent Bates, LLP

View and Print

CM0168-2020-01-RC-Authorization-And-Request-For-Criminal-Records-2019

Authorization and request for criminal records verification and fingerprint information

Hermes Sargent Bates, LLP

View and Print

CM0175-2020-01-RC-Parent-Guardian-Consent-Form

Parent/Guardian Consent Form

Hermes Sargent Bates, LLP

View and Print

CM0176-2020-01-RC-Parent-Guardian-Consent-To-Medical-Dental-Hospital

Parent/Guardian Consent to Medical, Dental or Hospital Care

Hermes Sargent Bates, LLP

View and Print


  • Awards

    Awards and accreditations for Church Mutual.

    Read More »
 
 
 
Join the Conversation! Facebook LinkedIn Youtube Instagram

Church Mutual Insurance Company, S.I. (a stock insurer)
P.O. Box 357 | 3000 Schuster Lane | Merrill, WI 54452-0357
Telephone (800) 554-2642 or (715) 536-5577

© 2020 Church Mutual Insurance Company, S.I. All rights reserved. Protecting the Greater Good is a registered trademark of Church Mutual Insurance Company, S.I.

Church Mutual is a stock insurer whose policyholders are members of the parent mutual holding company formed on 1/1/20. S.I. = a stock insurer.