GUEST REGISTRATION - WHEELER FARM

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GUEST REGISTRATION - WHEELER FARM - COUNTRY KICK-OFF

A registration form must be on file for all participants, including those 18 and older.
If the participant is 18 or older, they may complete and submit the form themselves.
For participants under 18, a parent or legal guardian must complete the form.
Please ensure that no guests under age 14 are left unattended at LAU events.
Registration closes September 20th.

Email *

Name of LAU student you will be attending with *

Participant's Name(s) and Age(s) *

Emergency Contact Name and Phone Number.

*In case of emergency, pickup location will be the same as drop-off location, unless otherwise directed by emergency officials.

I understand LAU's code of conduct and agree to abide by the rules of the activity. *

I agree

For the safety and security of our students and guests, we ask that all non-Leadership Academy of Utah participants complete this form.

I HEREBY GRANT PERMISSION for all listed above to attend the Leadership Academy of Utah-sponsored activity Wheeler Farm - Country Kick-off on 9/20/2025.

I HEREBY WAIVE AND RELEASE, indemnify, hold harmless, and forever discharge Leadership Academy of Utah (LAU), its agents, volunteers, employees, officers, directors, affiliates, successors, and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages, and liabilities of every kind of nature, whether known or unknown, in law or equity, that I ever had or may have, arising from or in any way related to my participating in any of the events, classes, activities, testing, field trips, or projects conducted by, on the premises of, or for the benefit of, LAU.

By this WAIVER AND RELEASE, I assume any risk, take full responsibility, and waive any claims of personal injury, death, or damage to personal property associated with LAU and any of their volunteers, employees, directors, or officers.

I have read, understand, and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that I have given up considerable future legal rights by signing this WAIVER AND RELEASE. I have signed this agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise, or guarantee being communicated to me. My signature is proof of my intention to execute a complete and conditional WAIVER AND RELEASE of all liability to the full extent of the law. I am 18 years or older and mentally competent to enter this WAIVER AND RELEASE.

Typing my name below will serve as an electronic signature and will release Leadership Academy of Utah of all liability.

Friends and family may join us for a $5 per person cover fee. This fee will include entrance to the event, catering from 7 brothers, drinks, and dessert. Square Payment Link
*

I have followed the link and paid the fee for all people listed on this form

Please select which meal you would like from 7 brother's food truck. All meals are served with fries and a soda.

Please indicated how many of each meal you need:

-Shem Burger (guac & bacon)

-Cheeseburger

-Teri Samoa

-Macadamia & Cranberry Salad

-I need a gluten free option. I will send my requeset to melissa@lautah.org

A copy of your responses will be emailed to the address you provided.

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