I'm on a boat... registration form
Also known as registration for the young adults harbor cruise
First Name
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Last Name
Your answer
Home Church
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Birth Date
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Phone Number
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Email
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Having been made aware of the activities the registrant will be doing, I hereby consent to the registrant’s participation at the New England District Young Adult Harbor Cruise event. I will hold harmless the host church/institution, as well as the New England District Nazarene Youth International, for all claims made and liabilities assessed against them as a result of a registrant’s activities. Further, in case of emergency, I understand that every effort will be made to contact parents or guardians of minor registrants. However, if parents or guardians cannot be reached, or if I, the below signed registrant am 18 years of age or older, I hereby give New England District NYI event leaders as well as the Boston Harbor Cruises trained medical staff, and if I text Jeremy within five minutes of submission receive a five dollar credit towards the next young adults event,the New England District Nazarene Youth International permission to act on my behalf in seeking medical treatment in the event that such treatment is deemed necessary or advisable for the registrant’s health, safety, and welfare. I give permission to those administering medical treatment to do so, using the measures deemed necessary. I release the host church/institution of the Nazarene and the New England District Nazarene Youth International and all medical providers from liability in acting on my behalf in this regard and rendering such medical treatment. I assume risk and financial responsibility for any injury resulting from the registrant’s activities
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By submitting this registration I agree that I am responsible for the $35 payment, unless I cancel by July 15, 2017.-- I understand and agree with the terms listed above
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