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WINTER RETREAT 2018
We are heading out to Riverview Bible Camp for an exceptional time away. Come and join us Feb 9-11 as we enjoy the snow tubing (hopefully!), fun games and activities, the thoughts of our speaker, Olivia Metcalf, the Chaplain from NNU, and a LIVE Worship Team! Ask your youth leader for the cost to attend, but online registration is due Feb 4.
FIRST NAME OF PARTICIPANT *
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LAST NAME OF PARTICIPANT *
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PARTICIPANT'S CELL *
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PARTICIPANT'S CELL CARRIER (OPTIONAL)
We need your phone carrier, IF you want text message updates from our church.
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LEGAL GUARDIAN(S) FULL NAME *
John & Jane Doe
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LEGAL GUARDIAN'S EMERGENCY PHONE # *
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LEGAL GUARDIAN'S CELL CARRIER (OPTIONAL)
We need your phone carrier, IF you want text message updates from our church.
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2ND EMERGENCY PHONE # *
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EMAIL *
Required only so that we can send you pertinent information and updates for this event.
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GRADE *
Naz Youth Group
Which Nazarene Youth Group are you coming with?
Home Church (Optional)
What your church do you attend?
In consideration of RIVERVIEW BIBLE CAMP, I for myself, or the minor child named below, forever waive, release and discharge RIVERVIEW BIBLE CAMP (and its parent corporation) from any/all injuries, claims, disputes, liabilities, or actions resulting from RIVERVIEW BIBLE CAMP providing services for me and for my benefit regardless of location for the dates identified above, except for injury or damage arising out of Riverview Bible Camp’s negligence or willful misconduct. I attest and verify that I have full knowledge of the risks and dangers involved; that I assume such risks, and that I will assume and pay my own medical and emergency expenses, in the event of an accident, illness or other incapacity, regardless of whether I have authorized such expenses. Any controversy arising out of, connected to, or relating to any matters herein of the transactions between me and the above named parties or on behalf of the minor child named below, of this Release/Waiver, or the breach thereof, including, but not limited to any claims of violations of Federal and/or State Law, as well as any common law claims shall be settled by arbitration through Christian Conciliation Services; and in accordance with this paragraph a judgment based upon the arbitrator's award may be entered in any court having jurisdiction thereof in accordance with the provisions of R.C.W. 7.04. This agreement shall be construed and interpreted under the laws of the State of Washington. I HAVE READ THIS WAIVER AND RELEASE CAREFULLY, AND UNDERSTAND IT. *
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