Young Men's Registration Form 2025

Young Men's Registration Form
Participants Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
List any physical disabilities or medical conditions: Allergies / asthma / medications / etc.
List any dietary requirements you have: Vegetarian / vegan / no nuts / no dairy / etc.
Have you attended YMAW before?*

YesNo
If yes, how many times?
Do you have any Wilderness Experience?*

YesNo
If yes, give details
Sponsor Name (Optional)

First NameLast Name
Sponsor Phone number (Optional)
Please enter a valid phone number.

Agreements - Read carefully and initial in the space provided
I understand that this weekend takes place in the wilderness and will be physically demanding at times
Initials*

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I will not bring any illegal substances / drugs / alcohol / tobacco / weapons / electronics (mp3 player / iPhone / Android)
Initials*

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Initials*
I will ensure the safety of myself and others at all times and I will participate to the best of my ability
Initials*

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Initials*
I understand the failure to comply with the above may result in my removal from the Young Men's Adventure Weekend
Initials*

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Initials*
Participants Signature*

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Date of Signing*

MonthDayYear
Date

Parent / Guardian Consent Form

This section is to be completed by parent or legal guardian
Participant's Name*

First NameLast Name
Parent / Guardian's Name*

First NameLast Name
Address (if different from participant)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to participant*
Parent / Guardian Phone*
Please enter a valid phone number.
Parent / Guardian Email*
example@example.com
Emergency Contact Information
Emergency contact person*
Relationship to participant*
Emergency contact's phone*
Please enter a valid phone number.
Additional Phone
Please enter a valid phone number.
Health Information
Participants Health Number *
Doctor's Name*
Doctor's Phone*
Please enter a valid phone number.
If Participant take medicine, please state names, purpose, and dosage
Are there any other allergies, physical or medical issues we should be aware of?
As Parent or Guardian for participant (print parent or guardian name)*

First NameLast Name
Give my consent for (print participants name)*

First NameLast Name
To receive medical treatment as deemed necessary by the medical personnel at YMAW during the duration of the summer camp.

I understand that while the participant is at YMAW, accidents and illnesses may occur, and I authorize the medical staff to provide any necessary medical treatment, including but not limited to medication administration, diagnostic procedures, and emergency medical care.

I hereby release YMAW and its staff from any liability that may arise from the provision of medical treatment to the participant.
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I approve of this participant attending the Young Men's Adventure Weekend on July 11-13, 2025 (Check one)*

ParentGuardian
Signature*

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Date*

MonthDayYear
Date

Release and waiver of liability

The organizers of the Young Men's Adventure Weekend 2025 (referred to as "the volunteers") are producing an event for Young Men ("Participants"). We require the participants and their parent or guardian to read and agree to the following:
As Parent or Guardian for participant (print parent or guardian name)*

First NameLast Name
1. We confirm that the Participant has voluntarily agreed to participate in the Young Men's Adventure Weekend 2025.
2. We understand that the activities involved in the Young Men's Adventure Weekend will be physically demanding at times and that personal injuries or property damage may occur.
3. CONSENT FOR EMERGENCY MEDICAL TREATMENT OF A PARTICIPANT:
  In the event of an emergency, if we cannot be reached by telephone, we hereby give permission to a representative of the Young Men's Adventure Weekend 2025 to arrange for any medical treatment required by PARTICIPANT while he is attending the Young Men's Adventure Weekend July 11-13, 2025. We will be responsible for any emergency medical treatment costs.
4. We have no reservations about the Participant's physical fitness or health that would prevent him from participating in physically demanding activities. We have advised the Volunteers of any relevant physical condition or disability of the Participant (including food or other allergies).
5. We understand that the Young Men's Adventure Weekend 2025 takes place in a wilderness setting and includes such activities as hiking, campfires, games, using tools, swimming, and traveling to and from the site. We acknowledge the risks inherent in this setting and in these activities and recogÂnize that serious personal injuries, damage to personal property or even death may occur. We agree to assume those risks and release the Sponsors from any responsibility.
6. We hereby release and discharge the Sponsors (and other persons authorized by them to help produce the Young Men's Adventure Weekend 2025) from all claims that we, the Family, the Participant, or our personal representatives may have for any injury (including injury resulting in death) or disability sustained by the Participant, however caused. We release and indemnify the hosts/owners/occupiers as the case may be, and all of them, of the site at which the event is held, from liability for any and all loss, injury or damage the participant or his parent or guardian may sustain, no matter how it is caused. We also release the Sponsors (and other persons authorized by them to produce the Young Men's Adventure Weekend 2025) as well as other participants from any responsibility for loss of, or damage to the Participant's personal property. We agree not to make any claim for any loss, injury or damage we, the participant, the parent and guardian may sustain in connection with the event, no matter how such loss, injury or damage may occur.
7. We agree that all photographs/videos taken of my Young Man during the Young Men's Adventure Weekend 2025 are the property of the Young Men's
Parent or Guardian*

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Print Name*

First NameLast Name
Participant*

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Print Name*

First NameLast Name
Witness*

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Witness*

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Print Name*

First NameLast Name
Date*

MonthDayYear
Date

How did you hear about us?
Payment Details

Young Men's Adventure Weekend registration fee is $279CAD (non-refundable)

Pay with a credit card via the form below, or send us an interac e-transfer to info@ymaw.com

Payment

YMAW Registration Fee

$279.00CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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