Venture 2019 Registration
Register for Venture 2019! Venture is January 18-20, 2019.
Before we get started...
please enter the best contact email address for you or your student below.
Email Address *
Your answer
Student Information
This is only information about the student, not the parent.
First Name (Student) *
Your answer
Last Name (Student) *
Your answer
Birthdate (Student) *
MM
/
DD
/
YYYY
Gender *
Grade *
T-Shirt Size (All shirts are adult sizes) *
Contact Information
Please enter student contact information.
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Student Phone Number *
Your answer
Parent Contact Information
Parent Name (First and Last) *
Your answer
Parent Contact Number *
Your answer
I, the authorized parent or legal guardian, understand that...
1. The Venture registration payment is non-refundable and reserves my student's spot. (Should an emergency arise that prohibits your student from attending, please contact the Student Ministry.)

2. Any violation of the Student Ministry rules will be grounds for dismissal in which the student will be sent home.

By selecting the checkbox below, you are effectively providing your signature, indicating your acknowledgment and agreement to the terms above. *
Required
Emergency Information
Should an emergency arise, this information will help us know how to best care for your student.
Allergies
Your answer
Current Medications
Your answer
Any pertinent medical conditions that we should be aware of?
Your answer
Parent or Guardian Authorization
Please carefully read the following authorizations. If you choose not to authorize, please type "I do not authorize" in the text box. If you do authorize, please type your initials in the text box.
Authorization for Emergency Medical Care to a Minor
In the event of an emergency situation, IF a parent/legal guardian cannot be reached, I, the authorized parent or legal guardian of the student currently registering for Venture 2019, do hereby authorize any necessary examination, anesthetic, dental or surgical diagnosis or treatment by a duly licensed physician or dentist. (The Student Ministry Staff will make every attempt to contact you before action is taken.)
By entering your initials in the box below, you are effectively providing your signature, indicating your authorization of the terms above. *
Your answer
Media Release
I, the authorized parent or legal guardian of the student currently registering for Venture 2019, do hereby authorize the First Baptist Rockwall Student Ministry to photograph or video my student for media purposes.
By entering your initials in the box below, you are effectively providing your signature, indicating your authorization of the terms above. *
Your answer
Roommate Information
Students are grouped by grade and gender. We do everything that we can to give you one of your preferred roommate options. Guests will always be grouped with the person who brought them.
Is the student a guest? *
If yes, who is the student a guest of?
Your answer
Roommate Preference 1 *
Your answer
Roommate Preference 2
Your answer
Almost Finished!
Registration is NOT guaranteed without payment.
How will you be paying? *
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