Gearing Up 2017 Registration
Do you want to be apart of the work God is doing at UCSC? Come join us Sept 20th at 3pm to Sept 22nd 12pm at High Street Community Church. Reconnect with other UCSC students who are passionate about seeing God move on campus. And lets pray, plan and have fun together as we prepare for a new year of ministry together!
Name *
First and last please!
Your answer
Phone Number *
Your answer
Email *
Your answer
Are you living on campus this year? *
Will you have a car? *
Will you need to store your boxes/bags for the year at High Street during Gearing Up? *
If you are moving on campus, We can get you FREE early move in for Friday, Sept 22nd. What is your student ID?
Your answer
Do you have any food allergies or restrictions? *
If yes, please explain.
Your answer
Please check the box to indicate you agree to the conditions of this waiver. *
1. In consideration for being accepted and allowed to participate in this conference/project and activities associated with its program and location, I personally assume responsibility for my actions, and release InterVarsity Christian Fellowship/USA® (hereafter InterVarsity®), its Trustees, employees and agents from loss, injury or damage to myself or my property; provided that nothing contained herein shall excuse InterVarsity, its Trustees, employees or agents from responsibility to act with reasonable care for the safety of myself or my property. 2. I give permission to InterVarsity to be photographed, recorded, and/or video taped and to allow this material to be used for publicity. 3. I give permission to InterVarsity to obtain medical assistance in the event of an emergency. This permission will include the administration of medicines, surgical treatment, X-ray examination or hospitalization as might be ordered by a licensed medical doctor. I release and discharge InterVarsity, its trustees, employees, and agents from any liability for any first aid rendered or treatment performed pursuant to this consent. 4. I understand that InterVarsity has a hostage policy that states that InterVarsity should not yield to demands, including the payment of ransom or other extortion, issued through the use of hostage taking or extortion. 5. If I am under age 18, I state that I am a mature minor (of college age and living away from parent/guardian) and have the capacity to consent to the terms of this Release. For persons under the age of 18 (19 in Alabama) and not living away from parent/guardian: I, the undersigned parent or legal guardian of the above person, consent to the above named person's participation in this activity and agree to the terms of this release. 6. Any claim or dispute arising from or related to this release shall be settled by mediation and, if necessary, legally binding arbitration in accordance with the rules of a mutually agreed upon alternative dispute resolution service, subject to provisions of federal, State and local law governing arbitration, including, but not limited to jurisdiction and allocation and payment of costs. Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction. These methods shall be the sole remedy for any controversy or claim arising out of this agreement and the parties expressly waive any right to file a lawsuit in any civil court for such disputes, except to enforce an arbitration decision. I certify that I am competent to sign this Release, and have done so voluntarily.
Please bring $35 for registration when you arrive on Sept 20th! *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms