Radiate 2017 Youth Camp

Radiate 2017 Youth Camp

Registration Form Preview
ONLINE REGISTRATION
  • ONLINE REGISTRATION

    RADIATE 2017: SET APART
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  • EMERGENCY CONTACT INFORMATION

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  • MEDICAL INFORMATION

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  • GENERAL RELEASE

    The participant desires to join the WORD International Ministries of Texas Radiate 2017 Youth Camp. I, the undersigned and participant, fully cooperate and conform to the directions and instructions of the supervisory personnel in charge of the Radiate 2017 Youth Camp. Furthermore, I acknowledge that there will be some risks involved in participating in this camp. I do hereby release and agree to hold harmless WORD International Ministries and all of its directors, counselors, pastors, workers and youth leaders thereof from any and ALL liability, claims or demands for personal injury, sickness or death, as well as all property damage and expenses, of any nature whatsoever which may be incurred by the undersigned or participant that occur while participating in this event.

    I fully understand that if I do not cooperate and conform to the directions and instructions of the supervisory personnel in charge of the Radiate 2017 Youth Camp, my parent or guardian or emergency contact will be informed and will be requested to pick me up and send me home.

    By typing my name and signing below, I acknowledge that I have read and fully understood the entity of the General Release statement.

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  • PAYMENT METHOD

    The registration fee for Radiate 2017 is $245.00
    Unfortunately, we cannot accept online payment methods as of right now. We accept cash or checks.

    The respective leaders of the WIN church that you were invited to will contact you immediately to process your payment and secure your spot. Each church location will give you more details on what name the checks will be payable to, and they will assist you if you need further aid in paying the total registration fee.

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