Young Adult All-Nighter
05/15/26 6pm - 05/16/26 10:30am | YA All-Nighter
Name
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Emergency Contact
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Relationship
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Insurance
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Policy #/Medical Record #
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List any physical disabilities, condition and/or allergies we may need to be aware of:
Liability Waiver
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Please select all that apply.
I assume the risk and promise to release, forever discharge and hold harmless MovementChurch.online, it's directors, staff and volunteers from any and all liability, claims or demands for personal injury, sickness or death
I also agree to hold harmless and indemnify said church, it's directors, employees and agents, for any liability sustained by said church as a result of the negligent, willful or intentional acts of said participant
I hereby certify that we (I) have read and clearly understand these terms and that this authorization/waiver is being executed voluntarily.
Tech Free
I acknowledge that this is a tech free event.
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Please select all that apply.
Yes
Signature
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This address will receive a confirmation email
Full Name ex: /John Doe/
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Today's Date
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30.00
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Description
05/15/26 6pm - 05/16/26 10:30am
YA All-Nighter
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