RSVP! JTASA Summer Meet-Up 2013
WHO: YOU!
WHAT: JTASA NorCal Meet-Up
WHEN: 8/10/13
            1:30 PM - 7:30 PM
WHERE: Santa Cruz Beach Boardwalk

Meet us at the entrance of Beach Street and Riverside Ave. at 1:30 PM!

We will all head over to the beach to designate our meet up spot for a few hours of water, games, and music. If you choose to, feel free to explore the boardwalk and enjoy the rides, but meet up at the same spot on the beach when you want to relax.

At 6:30 PM, everyone will have dinner on the beach to finish off the day whether you buy it yourself or not. Counselors will pick up dinner for you for a small $10 donation, IF AND ONLY IF you check dinner box below. Otherwise, please plan your own dinner and finances.

If you would like to buy passes for rides on the Boardwalk, you may do so at your own discretion, but know that JTASA does not intend on buying passes for rides.

Please fill out this form by 8/7/13.

Feel free to email us at jtasa.norcal@tacl.org with any questions.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
YOUR PHONE NUMBER *
YOUR EMAIL ADDRESS *
EVERYONE'S GOING TO THE BEACH. Are you going to the boardwalk? *
Tell us so that we know if we can qualify for the group ticket rate!
DINNER *
Transportation: What city are you coming from? *
Transportation: Ride situation *
Can you or your parent/guardian provide a ride? Or do you yourself need help arriving and departing from Santa Cruz Beach Boardwalk? If you are unsure, write that in and we will be in contact.
WAIVER *
Waiver: I, the undersigned, hereby grant permission for the above-named participant to attend the Junior Taiwanese American Student Association Regional Summer Meet-up and to fully participate in the activities thereof. I consent to have pictures and/or video taken during the JTASA Summer Meet-Up of the above-named participant to be printed or posted on the internet for advertising, distribution, or other JTASA-related purposes. In order that the above-named participant may receive necessary medical treatment in the event of injury or illness, I understand that an effort will be made to contact me immediately and hereby authorize any adult person, being an officer, staff member or volunteer of JTASA, to treat or diagnose the above-named participant. As the parent or legal guardian of the above named participant, I am responsible for the health care decision of such participant and am authorized to consent to the services to be rendered. I agree to pay for the care of the above-named participant and represent that my consent and agreement are legal and that no consent from any other person is required by law. I hereby release and agree to hold harmless TACL, JTASA, Santa Cruz Beach Boardwalk Amusement Park, and each of its officers, directors, employees, staff members, and volunteers from any and all liability arising out of personal injury, property damage or loss, or wrongful death resulting from: (i) the exercise of the authority granted herein, (ii) the above-named participant’s participation in the JTASA Summer Meet-Up, and (iii) the negligence, both persuasive and active, or other acts, by any of the releases. I hereby waive, discharge, and relinquish any action or causes of action which may hereafter arise out of such liability, whether known or unknown. I also consent to the immediate expulsion of the above-named participant from the JTASA Summer Meet-Up for unauthorized excursions outside of the Santa Cruz Beach Boardwalk Amusement Park.
Required
Parent/Guardian Signature *
Type your full name to verify you agree with the waiver above.
Parent/Guardian Phone Number *
Emergency contact!
Other comments?
Tell us if you're going to be late, or you're leaving early, or you have some medical issues, or you want to say hi!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report