2017 Field Day Registration
Start your children's summer off with a fun filled day in the great outdoors!
Please complete our registration in it's entirety.
Child Information
First Name
Your answer
Last Name
Your answer
Age
Your answer
Gender
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Does your child have any food or environmental allergies? Please list:
Your answer
Father Information
First Name
Your answer
Last Name
Your answer
Cell Number
Your answer
Email
Your answer
Mom Information
First Name
Your answer
Last Name
Your answer
Cell Number
Your answer
Email Address
Your answer
Name of person attending with child
If parent is not attending with child, please list who the guardian will be:
Guardian
Your answer
Has your child ever participated in any events at Majestic Outdoors? Please select all that apply:
Waiver & Release
Please read carefully before signing. This is a release of liability and waiver of certain legal rights. In consideration for my being permitted to participate in the activities of Majestic Outdoors Ministries, Inc.
I agree to the following waiver and release:
I acknowledge that there are inherited risk, hazards and dangers that cannot be eliminated, particularly in an outdoor environment. I UNDERSTAND ALL OF THESE RISK, HAZARDS AND DANGERS OF: 1. Walking in rugged country, including encounters with wildlife, animals and insects. 2. Inclement weather conditions.
3. Transportation to and from base camp and event site. I am participating in Majestic Outdoors Ministries, Inc. voluntarily with the full knowledge of the risk involved. I agree that, I, as parent or guardian, will not hold Majestic Outdoors Ministries, Inc. responsible for any injury or death that could occur to my child.
I, as a willing participant, will not hold Majestic Outdoors Ministries, Inc. responsible for any accident, injury or death that may occur to me personally. I agree that I will not hold Majestic Outdoors Ministries, Inc. board members or volunteers responsible for any accidents or death that may occur to my child or me personally. I agree that my child/children picture(s) may be used in all forms of advertisement of Majestic Outdoors Ministries, Inc. including, but not limited to, public newspaper(s), magazine(s), brochure(s), flyer(s), internet, website(s), card(s), other Christian ministries, or any other forms of advertising used by Majestic Outdoors Ministries, Inc. and its members. I HAVE READ AND CLEARLY UNDERSTAND, AND VOLUNTARILY SIGN THIS WAVIER AND RELEASE AGREEMENT. My printed/typed name should be accepted as my understanding and agreeing to all of the terms listed above.
Waiver & Release
Required
Electronic Signature
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms