Wellspring Spring Formal 2023 Guest Registration

Wellspring Spring Formal 2023 Guest Registration

For guests of registered homeschooled high school students, ages 14-19
Parent Name (or attendee's name if 18-19 years of age)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number

Guest's Name*

First NameLast Name
Guest's DOB*

MonthDayYear
Must be 14-19 years of age.
Name of homeschooled student who invited this guest:*

First NameLast Name
Do you have any songs you would like to request? All song requests will be reviewed by the prom committee to determine whether they are appropriate for this dance, so we cannot guarantee your requests will be played.
If your student is under 18, do you give them permission to sign themselves out and leave early without a parent?*

YesNo
All invited guests must be approved by the prom leadership committee. If your student is not approved, you will be contacted by email and your money will be refunded in full. This approval process is done using the recommendation of the inviting student's parent and any other means necessary. We make every effort to base this decision in a fair and equitable manner. Do you understand that your child has not yet been approved and has not yet been given permission to attend the Wellspring Formal?*

Yes, I understand

Wellspring has a Dress Code and Code of Conduct which all students and guests must agree to follow before attending the prom. Students who do not abide by this code may be asked to leave.

DRESS CODE AND CODE OF CONDUCT FOR

WELLSPRING HOMESCHOOL, INC.

• All clothing must be modest and unrevealing in cut, fit, and texture.
• All clothing should be neat and clean and contain no inappropriate messages or pictures.
• Clothing may not be see through; clothing considered as underclothing may not be worn as an outside garment.
• All pants, skirts, shorts, and dresses must be no shorter than midthigh. Slits in skirts or dresses must not extend higher than midthigh. Your undergarments should not show when bending over. Boys’ pants must be modestly cut and not tight-fitting.
• Girls’ necklines must be modest in cut and fit. No cleavage or breast may show, even when bending over.
• All shirts must be long enough to reach to the top of pants/shorts/skirts and should not allow the exposure of midriffs. Dresses may not have cutouts in the midriff, but may have scooped backs or cutouts in the back as long as they go no lower than the waist.
• Leaders or chaperones who believe any dress or personal appearance to be distracting, unsafe, or unsuitable for a Wellspring event may request students to abnegate them. This can include covering them with other apparel, removing an item, or being asked to leave the premises.

The following rules of conduct apply to all Wellspring functions and sponsored events. Anyone failing to follow these rules can be asked to leave Wellspring and/or the event.
• No fighting
• No alcohol, tobacco, controlled substances, or firearms
• No inappropriate dancing (left up to the discretion of the onsite parents)
• No inappropriate public displays of affection (left up to the discretion of on-site parents)
• No bullying; this includes face-to-face and through social media
• There is a no return policy for participants at all dances. Once you leave the premises, you may not return.
Do you agree that your student (or you if 18-19 years old) will abide by the Dress Code and Code of Conduct?*

Yes, I agree
Do you understand that parents and chaperones are responsible for the dress and behavior of any guests that are in attendance and that if they do not follow our Dress Code and Code of Conduct, they may be asked to leave?*

Yes, I understand

Wellspring Waiver of Liability
In consideration of being allowed to participate in any way in Wellspring Homeschool events and activities, the undersigned:
1. Agree that the parent(s) and/or legal guardian(s) of the participants should inspect any facilities and equipment to be used, and if the parent or guardian believes anything is unsafe, he or she should immediately advise someone from leadership or a staff member at any facility of such condition(s) and refuse to participate.
2. Acknowledge and fully understand that each member/participant/family will be engaging in activities that could involve risk of serious injury, including permanent disability and death and severe social and economic losses which might result not only from their own actions, inactions, or negligence but the action, inaction, or negligence of others, or the condition of the premises of or of any equipment used. Further that there may be other risks not known to us or not reasonably foreseeable at this time.
3. Assume all foregoing risks and accept personal responsibility for the damages following such injury, permanent disability, or death.
4. Release, waive, discharge and covenant not to sue Wellspring Homeschool Community, Inc. its affiliated clubs, their respective administrators, directors, agents, and other volunteers of the organization, other members/participants/families, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, all of which are hereinafter referred to as “releases”, from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death and damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.
I have read the above waiver and release and by clicking "I agree" I understand that I am giving up substantial rights and that I am signing this form voluntarily and under my own free will.*

I agree

Media Release
I grant/deny permission to Wellspring Homeschool Community to use the image(s) of my child(ren) as marked by my selection below. Such use includes the display, distribution, publication, transmission, or other use of photographs, images, and/or video taken of my child(ren) for use in materials that include, but may not be limited to printed materials such as yearbooks and newsletters, videos, and digital images such as those on the Wellspring Homeschool Community website, social media outlets (for example, Facebook), and in slide show presentations.*

GrantDeny

Will you be paying for your own ticket?*

Yes, I am paying for myself ($35)No, my host paid for my ticket
Amount Due
Amount Due

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Wellspring Spring Formal 2023 Guest Registration

Wellspring Waiver of Liability

Media Release