Rock the Universe 2025 Registration

Rock the Universe Registration

Universal Studios | January 23rd-26th, 2025
Rock the Universe is a 4 day trip with the intent to grow relationships amongst our students and leaders while also providing outreach to familiarize new students with our church!

Wynnton's student ministry will be traveling to Universal Studios to join thousands of other youth students to worship while riding rollercoasters as well! Check out all things RTU at this link: Rock the Universe

The cost of registration is $275. Checks can be made payable to Wynnton Methodist Church with the memo Rock the Universe.

Students have been handed tickets to sale for a fundraiser and payment can be made after January 9th to account for all money added to each student's account.

If you have any questions at all please do not hesitate to reach out to me!
Registrant Information
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Gender*

MaleFemale
T-shirt size*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
E-mail
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Wynnton Methodist Church during Rock the Universe. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Wynnton Methodist Church and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from Rock the Universe.

In case of injury to said child, I hereby waive all claims against Wynnton Methodist Church including all leaders, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

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Date
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Rock the Universe Registration

Registrant Information