AEI BASE CAMP 2024

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AEI Base Camp 2024 Registration Form

AEI Base Camp 2024 Registration Form

Parent Information:

Child #1:

Child #2:

Child #3:

SPECIAL INSTRUCTIONS

Do you give permission for your children's photographs to appear in our church promo materials?

EMERGENCY CONTACT

Emergency Contact #1:
Emergency Contact #1:
First
Last
Emergency Contact #2:
Emergency Contact #2:
First
Last

MEDICAL INFORMATION

Are participants covered by personal/family medical insurance?

AGREE TO SIGN PAPER RELEASE FORMS (see Jennifer)

PAYMENT AGREEMENT (you agree to pay by these dates):

$75 Deposit due May 5th with Balance paid by June 20th or Paid in Full at the time of this submission.

PARTICIPATION AGREEMENT

I acknowledge that participation in the activity described above involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, exposure to infectious/communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In consideration for the opportunity to participate in the activity described above, the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by the sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to as the “activity sponsor”). Further, the participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the activity sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise. Christ Church Santa Fe assumes no liability in preparation and distribution of this checklist. ©2024 Christ Church Santa Fe. All rights reserved. (Participant and/or parent/guardian if participant is a minor). If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the participant (or parent/guardian) and the activity sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.

AMOUNT DUE

Hitting "Submit Form" button will take you to Paypal, where you can use either a credit card (use "PAY NOW AS GUEST") or your Paypal account, if you already have one.
Payment Method:

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