Launch Calgary - May 27, 2023 Step 1 of 3 33% Participant Name* First Last Gender* Female Male Youth Participant Cell Phone (ONLY if you have one. Do NOT put a parent's number as this will be asked for later.)Youth Participant Email (ONLY if you have one. Do NOT put a parent's email as this will be asked for later.) Parent / Guardian Name* First Last Parent / Guardian Phone (Cell is Preferred)*Parent / Guardian Email* If the youth participant has registered for a FacetoFace event in 2023 and already completed the medical information and waiver then please verify which event. Otherwise select 'None'.* None Depths Saskatoon - March 11 & 12, 2023 Road Trip - April 12-15, 2023 Ignite SK Week 1 - July 31-Aug 5 Ignite SK Week 2 - Aug 8-13 If an event is selected FacetoFace will verify that this information is correct after the registration is completed.Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What year will you graduate from high school?*Select your grad year2023202420252026 Medical InformationDietary Restrictions* Is there anything important we should know about your health, medical conditions, medications, or other that may impact the Launch event?*Has anything changed around your medical status that we should be aware since your last event? If so, what?*I allow FacetoFace to email me monthly about upcoming events and news. I agree Liability Release (to be filled out and signed by a parent unless registrant is 18 years old)The following liability release waiver is for all the FacetoFace Events I, and/or my child, may participate in during 2023, including FacetoFace E3 events, FacetoFace Ignite Camps, FacetoFace United Conference, and any other events.I hereby acknowledge that sufficient information has been, and will be, provided by the events coordinators with respect to the planned activities, durations, locations, methods of transportation, sleeping arrangements, participants, and supervision.* I agree. I do hereby release and forever discharge FacetoFace Ministries from all manners of actions, claims, and demands of every kind, which I shall or may have for any reason arising from any FacetoFace Events in 2023.* I agree. I assume all risks and hazards incidental to or attendant with me and/or my childs participation in any FacetoFace Event in 2023, and in each phase of it.* I agree. I take responsibility for arranging transportation to and from the events. I understand that parents/guardians of all children and youth are responsible for transportation to and from the events. Youth with licenses will drive themselves/others only with my permission.* I agree. In the event that I am unavailable (parents/gaurdians), or unresponsive (adult participants), I do hereby give consent for all emergency medical care (including surgery, if deemed necessary and recommended by at least two attending physicians) prescribed by a duly licensed physician for my child/me in the event of injury or illness during the FacetoFace Events in 2023. This emergency medical care may be given under whatever conditions are deemed necessary, so as to preserve and protect life, limb, health and well-being of me/my child.* I agree. I understand that photos and/or video may be taken of me or my child for use in promotional material and I waive the right to inspect or approve them if used for such purposes.* I agree. I have carefully read these statements, and my signature below acknowledges that I fully understand the consent and meaning of these statements.* I agree. Parent Signature (or Registrant who is 18 years or older)*Printed Name* Date* By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.* I agree Good News! You do not need to complete this waiver again because you have already been to a FacetoFace event in 2023 and completed the liability waiver.PhoneThis field is for validation purposes and should be left unchanged. Δ
