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

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

Sample Social and Digital Media Code of Conduct

Hermes Sargent Bates, LLP

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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

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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

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

Building/Facility Use Agreement

McKay, de Lorimier & Acain

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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.

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

Equal Employment Opportunity Statement

Ruder Ware, L.L.S.C

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

Anti-Harassment Policy

Ruder Ware, L.L.S.C

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

Employment Application

Hermes Sargent Bates, LLP

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CM0183-2020-01-RC-Volunteer-Application

Volunteer Application

Hermes Sargent Bates, LLP

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

Reference Check Form

Hermes Sargent Bates, LLP

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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

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

Parent/Guardian Consent Form

Hermes Sargent Bates, LLP

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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


 
 
 
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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

© 2024 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.