LIFT Tour Participant Liability/Photo Acknowledgement Form 2020- Nashville, TN
Student Leadership University (SLU) is honored to have you participate in one of our incredible experiences. As you join us, we need to let you know a few things, and we ask that you fill out this form before you or your child joins us. This form must be submitted or a paper copy be brought to the check-in table in order to participate in LIFT.
Participant First Name:
Group You Are Attending LIFT Tour With (if applicable):
3D Student Ministries
Central Baptist Church - Crossville
Collide Student Ministry
Donaldson Baptist Church
First Baptist Church Fisherville
First Baptist Church Hendersonville
First Baptist Social Circle
Friendship Baptist Church
Green Hill Church
Hermitage Hills Baptist Church
HIGHLAND PARK CHURCH
Judson Baptist Church
Kennett Baptist Youth
Legacy Youth Group
Longhollow Baptist Church
Mount Pleasant Church
Nashville First Students
Northland Community Church
One Church Youth
Pump Springs Baptist Church
Refuge Church Nashville
Sold Out Student Ministry
Stuart Heights Baptist Church
White Plains Baptist Church
University Baptist Church
Student High School Graduation Year (ONLY Students)
Participant Phone Number:
Participant Email Address:
Parent Name: (Type N/A if you're over 18)
Parent Email: (Type N/A if you're over 18)
Which of the following best describes the participant?
By submitting this form, you understand that there is always a possibility of injury or physical harm. Before you or your student can join SLU/The LIFT Tour in one of these amazing experiences, you agree that Student Leadership University cannot let anyone participate in any activities without releasing and holding harmless Student Leadership University. Further, you and your child participating in this activity agree to hereby release, and forever discharge Student Leadership University, their officers and directors, and their employees, their agents, and any parties volunteering on behalf of Student Leadership University for all actions, claims, damages, costs, expenses or damages of any kind growing out of or related to any activity of Student Leadership University in which the undersigned participates. You further acknowledge that this is a full and complete release for all injuries and damages which may be sustained as a result of participating in any Student Leadership University program.
By registering for an SLU experience, you give Student Leadership University permission to use photography, video, and audio that you or your child is in for any publication related to telling others how incredible SLU is. You give permission to Student Leadership University to use such images in connection with any publication including but not limited to brochures, booklets, videotapes, reports, press releases, websites, including social media, and exhibits, to use and cite any comment(s), verbal or written, made by you or your child about the program, and to use you or your child’s name in connections with any publication and in such manner as determined by SLU.
I acknowledge I have read the above authorization, release, and agreement, prior to its execution, and that I am fully familiar with the contents of it. This release shall be binding upon the minor and me and our respective legal representatives. SLU and its partners will protect your information, but may use it for promotional purposes.
Participant or Guardian Signature (Parent/Guardian must sign if participant is under 18)
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