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The Big, Bad and the Ugly: Assumption of Risk Agreement Form I fully understand that risk and danger are involved in this activity and accept the same.

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Presentation on theme: "The Big, Bad and the Ugly: Assumption of Risk Agreement Form I fully understand that risk and danger are involved in this activity and accept the same."— Presentation transcript:

1 The Big, Bad and the Ugly: Assumption of Risk Agreement Form I fully understand that risk and danger are involved in this activity and accept the same entirely at my own risk. I do hereby release and forever discharge SunWest Christian Fellowship, its employees, agents, representatives, successors and assigns, of and from any actions, causes of action, demands, claims and/or liabilities for personal injury, illness, property damage, financial loss, or any loss or injury, or damages of any kind whatsoever, foreseen or unforeseen, which might be sustained by myself or any other family members of dependents in the said activity. It is my intention that this agreement be binding on myself and on any and all executors, administrators, heirs and assigns of myself. I also hereby agree to reimburse, save from any loss or expense, SunWest Christian Fellowship, for, on account of or by reason of any claims, advanced against SunWest Christian Fellowship, or by any losses or damages sustained by SunWest Christian Fellowship arising out of my or my dependents participation in the said activity. Dated at ______________________, 20______ ______________________________________ Parent/Guardian Signature – Indicating that you have read the above statements. (Please also sign other side of form) Midpark Way SE This is an awesome opportunity for young person/people to spend a weekend with friends, Christian bands and speakers. We will be registering and therefore sitting as a group during the main sessions, during the course of the weekend we will eat, sleep and laugh together. With that being said, due to the nature of the weekend we will not be able to do everything outside the main sessions. YC is set up so students can choose what concerts, games, workshops, etc. they want to attend. In light of being able to choose their activities, we will not be able to stay as a group the entire time, however we will require the students to be with a leader at all times. The students will need their own spending money. Please contact Colton Willms at if you have any questions or concerns

2 REGISTRATION FORM Name:___________________________ Address:__________________________ _________________________________ City:_____________________________ Postal Code:______________________ Phone:___________________________ ____________________________ AHC#:___________________________ Allergies/Medical Issues:_____________ _________________________________ In an emergency call: Name____________________________ Phone___________________________ WHAT: YC “Hope” A weekend with general sessions, concerts, workshops and other activities. Check out the website: yc.extremedream.ca WHERE: Conference: Rexall Place Accommodations: Lendrum MB Church, Ph: Drop off/Pick up: May Fri May 23, Ministry Center Sun May 25, Ministry Center COST: $ 270 : Includes Bus Rental — Accommodations — Breakfasts — Tickets Lunch: Please bring spending money for lunch on Saturday and Sunday BRING : Clothes, Toiletries, Bible, Pen, Notebook, Sleeping bag, pillow, towel, Back pack to carry things at the conference, Phone WHOM: Bands/Speakers Capital Kings David Nasser Family Force 5 Hawk Nelson Phil Wickham Danielle Strickland Eric Samuel Timm Tim Neufeld Royal Tailor TFK Building 429 Crowder Rapture Ruckus Joanna Hyatt Dave Overholt Propaganda for KING and COUNTRY Tedashii Bob Goff Miles McPherson Bluetree Ben Cantelon WRISTBAND? We will have your wrist band and seat number for you on Friday at YC. If you have any other questions or concerns please contact Colton or Administering of Medication All medication required by your child during this trip must be recorded with the group leader of this trip BEFORE leaving the church grounds. No medication will be given to your child unless in an extreme emergency and administration of medication would then be followed by medical attention. In case of emergency I understand that every reasonable effort will be made to contact the stated emergency contact person. In the event that they cannot be reached, I hereby give permission to personnel from the group, to utilize local ambulance/EMT services, hospitalize, secure proper treatment for, and order injections or surgery as deemed necessary for the health and well-being of my child or person named on this registration form. I consent to cover any incurred costs of the above should my private medical plan not do so. On occasion, the leader might determine that a participant may require Tylenol of Ibuprophen. Does your child have any adverse reaction to either of these medications? (Circle one) YES NO Note: the group leader reserves the right to dismiss a participant (at the parent/guardian's expense) who in their opinion is a hazard to the safety or rights of others, or who appears to have rejected the reasonable expectations of the leader. ______________________________________ Parent/Guardian's signature - indicating you have read the above. (Please sign other side of form)


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