Boise Youth Summit Registration ‹ The Church of Christ in Boise

Boise Youth Summit 2019
Your Word is a Lamp to My Feet (Psalm 119:105)
Attendee
Full Name *
First Name Last Name
Birth Date *
Month Day Year
Grade, if in school
Gender *
Male Female
Preferred T-shirt size (Unisex Adult) *
Child Small Child Medium Child Large Adult Small Adult Medium Adult Large Adult XL
E-mail

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parent/Guardian Information
Name
First Name Last Name
Home Number
- Area Code Phone Number
Cell Number
- Area Code Phone Number
E-mail
Emergency Information
Relationship *
Phone Number *
- Area Code Phone Number
Alt. Phone Number
- Area Code Phone Number
Emergency Contact's Name *
First Name Last Name
Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe.
Please Select all the activities in which the attendee plans to participate:
Friday Evening - Dessert & Games Saturday Afternoon - Picnic & Games Saturday Afternoon - Float the Boise River (13 and up, others see note below) Saturday Evening - Game Night (13 and up) Sunday Afternoon - Picnic & Games
Floating the Boise River
We offer to the participants age 13 and up a chance to float the Boise River with some members of our congregation. Any participants younger than 13 who want to float must have their parent float with them, no exceptions. Adults who want to join in the float can let us know and we will add you to the floaters list, we would ask you to contribute to the one leading the float $10 to help with the costs of this event.
Will Attendee need any of the following:
Transportation to studies or events while in Boise Overnight lodging while staying in Boise
Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by The Church of Christ in Boise Inc. during the Youth Summit. In exchange for the acceptance of said child’s candidacy by The Church of Christ in Boise Inc., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless The Church of Christ in Boise Inc.. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from the Youth Summit.
In case of injury to said child, I hereby waive all claims against The Church of Christ in Boise Inc., including all teachers and representatives, all participants, if applicable, owners and lessors of premises used to conduct the event. There is a risk of floating the Boise River that is inherent to that activity. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
I Agree: *
Check Here
Participation Policy
In consideration of being allowed to participate in any programs and activities assosciated with this event, I, the undersigned, acknowledge and agree that there are certain inherent risks involved in any kind of group activity. I knowingly assume all risks and responsibility for my, or my child's, participation. I agree to fully disclose all health conditions which may affect my, or my child's, participation or behavior: i.e. physical mental,and emotional conditions. I, or my child, agree to participate in all activities within any limitations noted by parents or doctors. I, or my child, agree to act in a responsible way, respect other people, as well as all properties, public and private. I, or my child, agree to dress in a discrete and modest way to show honor to God and the fellow participants. Please avoid very short skirts, shorts or pants and we ask that participants not wear tank tops or other sleeveless tops. I, or my child, understand that participation in these events may be terminated if any actions are negative or threatening toward people or property or if behavior endangers the participant or others. Parent's or guardians will be responsible for transporting the participant away if participation is terminated.
I Agree: *
Check Here
Confirmation
BY SUBMITTING FORM I AM ACKNOWLEDGING AND SIGNING THE ABOVE AGREEMENTS, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Boise Youth Summit Registration

Boise Youth Summit 2019

Floating the Boise River