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Creative Night Registration
Thursday, September 13
6 - 9 PM
Acoustic Cafe

Contact: Garett Mizunaka
‭(808) 351-7186‬

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Creative Night
Creative Interests *
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Ministry Attending *
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Ministry Serving
Parent Information
If you are under 18, please fill out the information.
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Parent Last Name
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Parent Phone Number
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Parent Release Form
If you are under the age of 18, please fill this out with your Parent/Legal Guardian.
Follow-Up events *
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Waiver Release Form
I, ________________________________________, “Releaser”, in consideration of being permitted to participate in the use of Y+YA Event(s) with the New Hope Youth + Young Adults, “Ministry”, release and hold harmless the Ministry, New Hope Christian Fellowship O`ahu, New Hope O`ahu and O`ahu South Foursquare church from any and every claim, demand, action, or right of action of whatever kind or nature arising from damage and/or personal injury resulting from any accident which may arise from the Releaser’s participation in the use of Y+YA Event(s) or any activities in connection with the use of Y+YA Event(s) (including social activities), caused by the negligence or any other act or conduct of the Leaders and members of the Ministry, or any employee, officer, or director of New Hope Christian Fellowship O`ahu, New Hope O`ahu and O`ahu South Foursquare Church.I release, waive, discharge and covenant not to sue New Hope Youth + Young Adults Ministry, New Hope Christian Fellowship O`ahu, New Hope O`ahu and O`ahu South Foursquare Church, its member associations, its affiliated clubs, their respective administrators, directors, agents, coaches and other volunteers or employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as “releasees”, from demands, losses, or damages on account of injury, disability, including death or damage to property, caused or alleged to be caused in whole or part by the negligence of the releasee or otherwise.I further release all members and leaders from any claim whatsoever I may have on account of first aid, treatment or services rendered or not rendered to me during my participation in this activity. I agree to submit a doctor’s note clearing me to participate, if I have a medical condition which may threaten my life or the other participants. I understand that my participation in this activity may be denied, if the Leader determines that by doing so, it may be hazardous to my health or to the other participants, or if my physical conditioning is not at the level it should be at to participate in the use of Y+YA Event(s) I understand that being a participant of the New Hope Youth + Young Adults Ministry does not guarantee my participation in the use of Y+YA Event(s) it is determined by the Leader’s evaluation of my ability to do so.This release contains the entire agreement between the Ministry, New Hope Christian Fellowship O’ahu, New Hope O`ahu, Oahu South Foursquare Church, New Hope International and me, and the terms of this release are a contract.I have read this release, I understand it, and I sign it as my own free act. I understand that before I sign, I may have my attorney review this release and he or she can explain in detail the full extent of the legal rights I am giving up.
Parent Electronic Signature
If under the age of 18
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Media Release Form
I, ________________________ (self/parent/guardian), hereby acknowledge that it is my desire to participate in Y+YA Event(s) sponsored by New Hope Christian Fellowship Oahu, including all activities on and/or away from the church premises as well as transportation to and from the event location. I am voluntarily participating in these activities, including the necessary transportation, with knowledge of the dangers involved and hereby agree to accept any and all risks of injury as a result of such participation in activities and transportation. I also authorize New Hope Christian Fellowship Oahu to make video footage and photo images that involve myself and that will be used for promotional materials of its ministries. As lawful consideration for permitting me to participate in the this event, I hereby release and discharge New Hope Christian Fellowship Oahu, its officers, volunteers, employees, agents and members of the Board of Elders from all actions, claims or demands I and my heirs, distributes, guardians, legal representatives or assigns now have or may hereafter have for any injury or damages resulting from the negligence or other acts, howsoever caused, by such church, officer, employee, agent and Board of Elders, before or during my participation in such sponsored retreat on and/or away from the church premises, including transportation to and from the retreat site. I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND AN ASSUMPTION OF RISKS. I sign it of my own free will. This consent and release form shall remain effective until revoked in writing and delivered to any officer, volunteer, employee or agent of New Hope Christian Fellowship Oahu.
Parent Electronic Signature
If under the age of 18
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Attendee's Electronic Signature *
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