Survival Revival Registration

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Thank you for your interest in the Survival Revival Weekend!

Please complete this registration in its entirety. If you have any questions, please email contact@riseupyoungadults.org

*Please note this event is for individuals ages 18-35.

Email *

First Name *

Last Name

Date of Birth *

YYYY

Address *

School/Occupation

Local Church *

Any allergies or dietary restrictions?

I acknowledge that I wish to participate in the 2024 RiseUp Survival Revival Weekend, which will be held in South Dakota, from September 19-22, 2024. I understand that certain risks are inherent in travel and other activities in which I will participate in this weekend, and fully accept those risks. These risks include, but are not limited to, injury, disease and/or other threat of physical harm to myself and others and damage to or theft of personal property. I understand that there may be a great variety of other risks not known or reasonably foreseeable. I acknowledge that RiseUp is not responsible for any harm that might occur. I understand and agree that RiseUp does not provide insurance to cover expenses for damage to my personal property and that RiseUp strongly recommends that I also carry my own health, medical and property insurance for purposes of potential losses related to this project. I fully release and discharge rise up and its employees, officers, and agents from all liability in connection with my participation in this trip.
*

I accept

Please Select "Survival Revival Weekend" to Confirm Your Total *

Survival Revival Weekend - $300.00

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