Summer Conference 2012 Registration Form
We're glad you are coming to Summer Conference 2012! Please fill out the following information to complete your registration. If you haven't already paid, please do that first, as your registration is considered invalid without that.
Information About You
Full Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Dorm/Apartment Name & Room # *
(or local address if off-campus)
Your answer
Gender *
Current Year *
What you are for the 2011-12 school year!
Have you done Mark 1 with TCF before? *
If you don't know what we mean, mark no.
How did you hear about Summer Conference? *
Who told you about it?
Your answer
Spiritually, do you consider yourself... *
Check all that apply
We'll be driving down to the dock together, and we'd like to know if you can help!
Are you able to drive people to and from the conference? *
If so, how many seatbelts does your car have? *
Don't forget to include yourself!
Emergency Information
Name of Emergency Contact *
Your answer
What is their relationship to you? *
(e.g. Father, Sister, etc.)
Your answer
Emergency Contact Phone Number *
Your answer
Medical Insurance Company Name
Your answer
Medical Insurance ID Number
(sometimes this is called the policy number)
Your answer
Other Information
Are you allergic to anything?
(e.g. food, medications, etc.)
Your answer
Are you currently taking any medications? If so, which ones?
Your answer
I agree to the InterVaristy Release Agreement *
The entire text of the Agreement is printed below
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