All Nighter Registration & Permission Form
The PG Youth Ministerial is putting on The All-Nighter, an event organized and staffed by youth pastors and leaders from Hartland Baptist Church, Evangelical Free Church, PG Pentecostal Church, Gateway Christian Ministries, Fort George Baptist Church, College Heights Baptist Church, Ness Lake Bible Camp, and YFC Prince George. It will take place Friday Dec. 1 at Hartland Baptist Church. Doors open at 8 p.m. and the event ends at 7 a.m. All event rules must be followed or your child risks expulsion from the event.
Participant Information
Participant Name
*
First Name
Last Name
Participant Phone Number
*
Please enter a valid phone number.
Participant E-mail
example@example.com
Current Grade
*
Personal Health Number
*
Any Health Concerns/Allergies
Which Youth Group Are You Attending With?
*
Evangelical Free Church
Hartland Baptist
College Heights Baptist
Gateway Christian Ministries
PG Pentecostal Church
Fort George Baptist Church
None
Other
For More Participants
Participant #2
If required
Participant #2 Name
First Name
Last Name
Participant #2 Phone Number
Please enter a valid phone number.
Participant #2 E-mail
example@example.com
Current Grade
Personal Health Number
Any Health Concerns/Allergies
Participant #3
If required
Participant #3 Name
First Name
Last Name
Participant #3 Phone Number
Please enter a valid phone number.
Participant #3 E-mail
example@example.com
Current Grade
Personal Health Number
Any Health Concerns/Allergies
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Parent/Guardian Information
Parent/Guardian #1
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian #2
First Name
Last Name
Phone Number
Please enter a valid phone number.
Emergency Contact Info
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
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Liability Waiver
IF THE PARTICIPANT is under eighteen (18) years of age, in consideration of the Participant being permitted to engage and take part in Youth Programs offered, carried on, sanctioned or sponsored by Youth for Christ Prince George, the undersigned Parent or Guardian of the Participant hereby releases and undertakes and agrees to save harmless and keep indemnified Youth for Christ Prince George, Hartland Baptist Church, their principals, officers, agents, officials, servants, organizers and representatives from and against all claims, actions, costs and expenses and demands whatsoever in respect of death, injury, loss or damage to the person or property of the Participant, howsoever caused, regardless of whether same may have been contributed to or occasioned by the negligence of Youth for Christ Prince George, Hartland Baptist Church, their principals, officers, agents, officials servants, organizers and representatives. It is hereby acknowledged that the contents hereof are fully understood by the Participant (and Parent/Guardian) who agree(s) that same shall be binding upon (his/her/their) heirs, successors, executors, administrators and assigns.
Date
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Month
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Day
Year
Date
Signature
Submit
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