The Way 2023 Registration

The Way Disciple Now 2023

A community-wide gathering of students from area churches in Central Texas. Join us for worship with Aric Harding & the Exchange, messages from the Nick Maddox, and it all happens at Walton Chapel at UMHB. $40 Registration is due by Sunday, February 5. Have questions? Let me know at clinton@foundationumc.org or check out www.foundationumc.org/ministries/students
Participant Name*

First Name Last Name
Participant Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Participant Grade*
Participant T-shirt Size*
Adult Sizes ONLY
Participant Cell Phone

Area Code Phone Number
2nd Participant Name

First Name Last Name
Participant Grade
Participant T-shirt Size
Adult Sizes ONLY
Participant Cell Phone

Area Code Phone Number
Parent Name*

First Name Last Name
Parent Email*
example@example.com
Parent Cell Phone*

Area Code Phone Number
Secondary Emergency Contact*

First Name Last Name
Insurance Co.
Insurance Group #
Insurance Phone

Area Code Phone Number
Insurance Policy #
Please describe any medical or allergy information we should know.
Terms of Agreement

My child(ren) has my permission to attend the Way student gathering, an event organized by a community of local churches, on March 3-4, 2023 at Walton Chapel at UMHB.

I do hereby release, acquit, hold harmless, and forever discharge any church or venue sponsoring this event, its agents, servants, sponsors, employees and all persons natural or corporation privy with them, from any and all claims or causes of action, including but not limited to actions, suits, and/or claims for bodily injuries, death or property damage, while participating in this event, including travel to and from any church activities. This agreement also applies to any and all activities on or off each church’s property.

In the case of injury or sickness, I hereby authorize notification of a physician and give permission to said physician or designated medical professionals to administer emergency medical assistance if I cannot be reached. The undersigned agrees to assume liability for any and all costs and expenses incurred including medical and dental costs in the event of an injury or claim arises. The undersigned further represents by the signing of this agreement that the subject participant has adequate health, disability and life insurance and further acknowledges that any church or venue involved does not provide health, disability or life insurance for the subject participant.

The undersigned further agrees that should the need arise for any transportation, lodging and/or meals for participant, because of some unforeseen event, including but not limited to, the breakdown of church, employee or sponsor vehicles, chartered vehicles, or if transportation becomes necessary for medical emergencies, the undersigned shall be responsible for such costs.

If for any reason legal action is taken against any church or venue, by the undersigned participant, parents, or guardian, the undersigned agrees to assume any and all legal costs and expenses incurred by any church in the event that it successfully defends such claim, action or lawsuit.

I understand that if my student(s) conduct becomes uncontrollable or if my student(s) breaks any of the rules he/she will be sent home at my expense and without a refund. I assume full responsibility for any damage to property and/or equipment caused by participant and I understand I will be responsible for replacement of same.

Photos or video taken of my child(ren) during any event may be used to promote and/or report on the event in any church advertising, publication or media. I also authorize Foundation Church staff personnel to transport my student(s) at their discretion in the event of an emergency. I certify to my knowledge, that my child(ren) has not been exposed to any contagious disease within the last 30 days.

I understand that if my child(ren) does not have insurance that I as their parent/guardian will assume full and complete responsibility for any and all medial expenses incurred by my child which arise during the event.

Submission of this registration form defines agreement with these terms and conditions.
Registration Payment

prevnext( X )
USDRegistration is $40 due by February 5. Pay here with PayPal or pay Clinton or the church office with cash or check. All checks should be made out to Foundation Church. T-shirts are not guaranteed if registering after February 5.
Should be Empty:

The Way Disciple Now 2023