Let Freedom Ring Trip Registration

Monday, Feb 17 - Registration Deadline Feb 10

Cost: Bring money for a fast-food meal at dinner. Everything else is FREE!

7:45 AM: Meet in 100 Oaks Parking lot between Regal Cinema & Panera

We will visit the University of Tennessee-Chattanooga for lunch and a campus tour.

Then we will visit Point Park on Lookout Mountain in Chattanooga to explore the park and celebrate the life of Dr. Martin Luther King, Jr..

LUNCH: Provided

DINNER: Bring money for a fast food meal.

7 PM (approximately): Arrive back at 100 Oaks Parking lot between Regal Cinema & Panera. We'll have students call parents when we are 30 mins. away from Nashville.

Spaces are LIMITED. Priority will be given based on grade level. Reserve your student's spot by filling out the form below.

Student Name*

First NameLast Name

Student Birth Date*

MonthDayYear

Student Phone

Area CodePhone Number

Student Grade

School

The signature below acknowledges that

I agree to allow my student to be transported to and to participate in the CiViL Liberties Let Freedom Ring Trip to Lookout Mountain, Chattanooga and The University of Tennessee at Chattanooga on January 20, 2025.
I understand that my student’s participation is a privilege, not a right, and it is at the discretion of the CiViL leadership. Students will be placed in order of seniority (Order of priority: 1st - Seniors, 2nd - Juniors, 3rd - Sophomores, 4th - Freshmen, 5th - 8th Graders). All students will be notified of their placement by Saturday, January 13, 2024. Submission of this form does not automatically guarantee my student a place on the trip.
My student will dress for active outdoor weather in school-appropriate clothing, and they will not bring anything on the trip that would be inappropriate for school.
CiViL is a program of Touchstone Youth Resource Services, Inc. Touchstone has permission to honor my student publicly, including in the media.
Touchstone has my permission to photograph, videotape, audio-record and otherwise use my student’s likeness or speech on the internet, in print, or any other media.
I release CiViL, Touchstone Youth Resources, and all employees, volunteers, agents and representatives thereof, from all liability for injuries, including death, to the student named above, and for all claims, loss, or damages resulting from the student’s participation in any CiViL activity, including being transported to and from meetings, service projects or other events.
I assume full responsibility for all risk to the student while they are participating in any CiViL activity, and I assume full responsibility for any loss or damage caused by the student’s behavior while participating in CiViL activities.
I authorize Touchstone to obtain emergency medical aid for my child.
Each participant's temperature will be taken before they board trip vehicles. Fever or other symptoms of COVID-19, Flu, and RSV may disqualify my student from participation.

Have you experienced any illness in the last month?

YesNo

Have you had fever, cough, or shortness of breath, or any symptoms of COVID-19, Flu, or RSV within the last 24 hours?

YesNo

Have you been exposed to anyone who has been diagnosed or thought to have COVID-19, Flu, or RSV within the last 2 weeks?

YesNo

Parent or Legal Guardian Name

First NameLast Name

Parent or Legal Guardian Phone Number

Area CodePhone Number

Parent Email

example@example.com

Parent or Legal Guardian Signature (Required, if participant is under 18)

Participant Signature (if over 18)

Emergency Phone Number*

Emergency Contact

First NameLast Name

Date Signed*

MonthDayYear

Let Freedom Ring Trip Registration - Feb 17, 2025