Event Registration

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Fuego Weekend on Friday, November 15, 2019

60.00
Welcome to Fuego Weekend registration! Fuego is a weekend where Middle Schoolers have the chance to hang out with friends, (and give parents a break), hear relevant teachings from the Bible and be challenged to make life-changing decisions. Think of it as a mini Camp United taking place right here in EastLake. Friendly reminder: Payments will be refundable due to extenuating circumstances until October 31st.  After which, all payments are non-refundable.
STUDENT INFORMATION
*Students Date of Birth (ex 01/01/2004):
*Gender:
*Grade Level 
*Which school does your middle schooler attend:
*How did you hear about our event:
*I understand that if my child has a special diet, I will send food with them to Fuego Weekend.  (Refrigeration is available.) 

*T-Shirt Size (Adult Sizes):
*Emergency Contact:
*Emergency Contact Phone:
ELC NETWORK PARENT/GUARDIAN CONSENT AND AUTHORIZATION FOR MINOR'S MEDICAL TREATMENT AND WAIVER OF LIABILITY
I acknowledge that participation in the activity described above involves risk to the Participant (and to Participant's parents or guardians, if Participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, 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 "Activity"), the Participant (or parent/guardian if 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 hereinafter 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 bed Activity or transportation to and from the Activity, whether such injury arises out of the negligence of the Activity Sponsor, the Participant, or otherwise. 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 faith-based 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 for arbitration pursuant to the procedures and supervision of the Rules of Procedure for Christian Conciliation, Institute for Christian Conciliation, or similar faith-based mediation and arbitration group. In the event that the Institute for Christian Conciliation ceases to exist, arbitration shall be conducted according to the rules of the American Arbitration Association.:
*By checking the 'I AGREE'  box, I acknowledge that I have read and understand the provisions releasing all claims on behalf of my minor child that I may have and I accept their terms as a condition to my child's attendance at this event and any related activity. :
*By checking the 'I AGREE' box and entering my name and today's date, I recognize that this is equivalent to my legal signature and agree to all the terms above.:
* Full Name and Today's Date