CAG Commuinty Day
August 1, 2026 | CAG Community Day (2026).
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
How many total attending?
*
Please select one option.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Select Option
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
How many school aged children will be attending(K-12)? **Child must be present to recieve backpack and supplies.** (While supplies last)
*
Please select one option.
1
2
3
4
5
6
7
8
9
10
Select Option
1
2
3
4
5
6
7
8
9
10
Do you have a home church?
*
Please select one option.
Yes
No
Select Option
Yes
No
CAG Community Day Indemnity and Release
I, the undersigned, wish to voluntarily participate in the CAG Community Day. In consideration for being permitted to participate in the CAG Community Day, in the county of Montgomery, in the state of Virginia, beginning the 1st day of August, 2026, I, the undersigned, fully recognizing the dangers and hazards inherent in the CAG Community Day, and any related transportation, including personal injury, property damage, or wrongful death, as well as the unknown dangers and hazards which may arise in the course of my participation in the CAG Community Day, do hereby voluntarily: Agree, for myself, my heirs and my personal representative, to defend, hold harmless, indemnify, release and forever discharge, to the broadest extent allowed by law, Christiansburg Assembly of God, its trustees, officers, employees, agents, membership, attendees, insurers, successors, assigns, from and against any and all claims, demands, actions, or causes of action on account of any damage to real or personal property or any personal injury or death that may result from my participation in the above CAG Community Day. I have read this release, I understand it fully, I understand that it is legally binding, and I understand that, among other things, I am agreeing to indemnify Christiansburg Assembly of God, for injuries, damages or losses I may cause and giving up rights to sue for injuries, damages or losses I may incur.
*
Please select all that apply.
Agree
Submit
Description
August 1, 2026
CAG Community Day (2026).
×
Please Fix the Following