Celebration - Jesus '24
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REGISTRATION FORM
Last name *
First name *
Year of birth (so we know how to plan for youth classes and nursery) *
Home address including street, city, & zipcode *
Best phone number for contacting you: *
Email address *
Special requirements - eg. dietary, housing location, etc. *
Please list any allergies the nurses and cooks should be aware of:
Are you presently under a physician's care for any acute/chronic medical conditions?
Are you currently taking any medications? Please list:
Have you recently been exposed to a contagious disease?
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Do you have any special dietary needs?
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Please list all mental health and/or physical conditions:
Your physician with phone number *
Have you gifts/talents you wish to share with the Celebration (solos, artistic, prayers, etc.) Please list priesthood office if applicable:
Do you agree to all the release and consent statements (see below_ that accompanies this form? Check yes below the consent statements.

Consent to Medical Treatment

As the Registrant, or if under the age of 18, the parent or legal guardian of the Registrant listed on this form, I give  permission to Community of Christ to transport the Registrant to a physician or hospital and hereby authorize medical

treatment, including but not limited to emergency surgery or medical treatment, and I will assume the responsibility for payment of all expenses and bills resulting from medical treatment. Community of Christ personnel may administer prescription medication as needed during the Event, and I agree that if the Registrant has an illness on the day the Event begins that could be harmful to him/her or to others, he/she will not be allowed to begin the Event.

Consent to Participate in Event Activities

As the Registrant, or as parent/guardian of the Registrant, I do for myself and on behalf of the Registrant, specifically consent to the participation in all activities offered at the Event. Any activities to which I do not consent are listed here:

Waiver and Release of Liability

In consideration for acceptance for my participation in the Event, or as parent/guardian of the Registrant, I do for myself and on behalf of the Registrant, if said Registrant is not 18 years of age or older, hereby release, forever discharge and agree to hold harmless Community of Christ and its affiliated organizations, lessors, lessees, officers, representatives, subordinate units, contractors, campgrounds, Event directors, staff, priesthood, agents, volunteers, participants, and employees thereof from any and all damages (including consequential damages), liability, claims, judgments, penalties, obligations, fines, causes of action, demands, losses, costs, and expenses (including without limitation reasonable attorneys’ fees and court costs) for personal injury, sickness or death based upon ordinary negligence, as well as property damage and expenses of any nature whatsoever which may be incurred by the parent/guardian and the

Registrant occurring while Registrant is participating in the Event or arising thereafter, and further agree to hold harmless and indemnify said organizations and their lessors, lessees, officers, representatives, subordinate units, contractors,

campgrounds, Event directors, staff, priesthood, agents, volunteers, participants, and employees for any liability sustained by them as the result of the negligent, willful or intentional acts of said Registrant during the Event, including expenses incurred attendant thereto.

Photo Release

In consideration for acceptance for my participation in the Event, or as parent/guardian of the Registrant, I do for myself and on behalf of the Registrant, if said Registrant is not 18 years of age or older, hereby give consent to and authorize the taking of photographic, audio or video recordings in which the Registrant may appear; and hereby waive all right of privacy in and to any of said pictures or tapes and authorize the use of the recordings by Community of Christ for any and all official resource, use or purpose including but not limited to print, film, or electronic media and reproduction or digital representation of every description on the internet/world wide web.

Event Rules

Possession of fireworks, firearms, fixed or switched blade knives (except under supervision by Event staff), any other weapons, alcohol, tobacco products, vaporizers or “vaping” devices, marijuana, illegal drugs or other controlled substances or their imitations are strictly forbidden. Additional Event Rules are attached and incorporated by reference 

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