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NYMS ’26 Registration
NYMS ’26 Registration Form
Step
1
of
6
16%
Registration Type
How will you be registering?
(Required)
As an Individual or Married Couple
As a Group of 5+
Ticket Type
(Required)
Single (On-Site) – $449
Single (Commuter) – $359
Married Couple (On-Site) – $759
Married Couple (Commuter) – $579
College Student – $249
Ticket Type
(Required)
Group Rate (On-Site) – $399/Person
Group Rate (Commuter) – $309/Person
Number of Registrants In Your Group
(Required)
Please enter a number from
5
to
10
.
Optional Lodging on Sunday Evening for Early Arrivals
No Sunday Lodging Needed
I Require Sunday Lodging ($44)
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Name
(Required)
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Last
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(Required)
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Enter Email
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Street Address
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City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 2nd Member of Group
(Required)
First
Last
Gender (2nd Group Member)
(Required)
Male
Female
Age (2nd Group Member)
(Required)
T-Shirt Size (2nd Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (2nd Group Member)
(Required)
Enter Email
Confirm Email
Home Address (2nd Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 3rd Member of Group
(Required)
First
Last
Gender (3rd Group Member)
(Required)
Male
Female
Age (3rd Group Member)
(Required)
T-Shirt Size (3rd Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (3rd Group Member)
(Required)
Enter Email
Confirm Email
Home Address (3rd Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 4th Member of Group
(Required)
First
Last
Gender (4th Group Member)
(Required)
Male
Female
Age (4th Group Member)
(Required)
T-Shirt Size (4th Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (4th Group Member)
(Required)
Enter Email
Confirm Email
Home Address (4th Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 5th Member of Group
(Required)
First
Last
Gender (5th Group Member)
(Required)
Male
Female
Age (5th Group Member)
(Required)
T-Shirt Size (5th Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (5th Group Member)
(Required)
Enter Email
Confirm Email
Home Address (5th Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 6th Member of Group
(Required)
First
Last
Gender (6th Group Member)
(Required)
Male
Female
Age (6th Group Member)
(Required)
T-Shirt Size (6th Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (6th Group Member)
(Required)
Enter Email
Confirm Email
Home Address (6th Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 7th Member of Group
(Required)
First
Last
Gender (7th Group Member)
(Required)
Male
Female
Age (7th Group Member)
(Required)
T-Shirt Size (7th Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (7th Group Member)
(Required)
Enter Email
Confirm Email
Home Address (7th Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 8th Member of Group
(Required)
First
Last
Gender (8th Group Member)
(Required)
Male
Female
Age (8th Group Member)
(Required)
T-Shirt Size (8th Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (8th Group Member)
(Required)
Enter Email
Confirm Email
Home Address (8th Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 9th Member of Group
(Required)
First
Last
Gender (9th Group Member)
(Required)
Male
Female
Age (9th Group Member)
(Required)
T-Shirt Size (9th Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (9th Group Member)
(Required)
Enter Email
Confirm Email
Home Address (9th Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Name of 10th Member of Group
(Required)
First
Last
Gender (10th Group Member)
(Required)
Male
Female
Age (10th Group Member)
(Required)
T-Shirt Size (10th Group Member)
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Email (10th Group Member)
(Required)
Enter Email
Confirm Email
Home Address (10th Group Member)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Spouse Name
(Required)
First
Last
Spouse Gender
(Required)
Male
Female
Spouse Age
(Required)
Spouse T-Shirt Size
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Phone
(Required)
Church Name
(Required)
Denomination
(Required)
Church Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
What is Your Ministry Role?
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (2nd Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (2nd Group Member)
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (3rd Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (3rd Group Member)
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (4th Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (4th Group Member)
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (5th Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (5th Group Member)
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (6th Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (6th Group Member)
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (7th Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (7th Group Member)
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (8th Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (8th Group Member)
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (9th Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (9th Group Member)
(Required)
Please enter a number from
1
to
90
.
What is Your Ministry Role? (10th Group Member)
(Required)
Youth Pastor
Youth Leader/Director
Youth Volunteer
Pastor
Teacher/Educator
Full-Time Student
Camp Director/Worker
Other
Years in Youth Ministry (10th Group Member)
(Required)
Please enter a number from
1
to
90
.
Additional Info
How did you hear about NYMS?
(Required)
Social Media
CPYU E-mail
CPYU Podcast
Google
Referred by a Friend
Other
Is this your first time attending NYMS?
(Required)
Yes
No
Roommate Request
If you have a roommate request, please enter their name here.
Ligonier Camp and Conference Center Liability Waiver
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (2nd Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (2nd Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (3rd Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (3rd Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (4th Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (4th Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (5th Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (5th Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (6th Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (6th Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (7th Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (7th Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (8th Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (8th Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (9th Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (9th Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Ligonier Camp and Conference Center Liability Waiver (10th Group Member)
(Required)
LCCC Release of Liability Form
TERMS AND CONDITIONS – Please read through the following terms and conditions. To agree to these conditions, type your first and last name at the end of this document.
PLEASE READ CAREFULLY. THIS DOCUMENT EFFECTS YOUR LEGAL RIGHTS AND IS LEGALLY BINDING. BY SIGNING THIS AGREEMENT YOU ARE RELEASING LIGONIER CAMP & CONFERENCE CENTER FROM ALL LIABILITY AND FOREVER GIVING UP ANY CLAIMS THEREFORE.
RELEASE OF LIABILITY
Warning: There are significant elements of risk in any camp and retreat facility that include, but are not limited to tripping or slipping hazards, uneven ground, stairs etc. There is also risk in all camp activities on and off the premises associated with sports, aquatics, climbing, ropes course, laser tag, team building exercises, volunteer labor, caving, zip lines or any other programmatic or non-programmatic event as well as the use of any equipment or vehicles for such activities.
Acknowledgement of Risks: I (which, along with my, me or mine means myself and/or any minor children listed below for which I am responsible) recognize the fact that there is an inherent danger in these types of activities, even though safety systems may be provided. These risks may result in serious injury or death, and include but are not limited to: 1) Trips and falls; 2) Risk associated with climbing or down-climbing; 3) Equipment failure; 4) My physical coordination, sense of balance, decision making, and the ability to follow or give directions; 5) Failure on my part to disclose a medical condition and/or physical activity concern that I may have; 6) Risk associated with vehicles, including transportation to off-site activities; 7) Risk associated with participating in aquatic activities; and 8) Risk associated with work done at camp on a volunteer basis, including maintenance and other activities. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity, such that personal property may be damaged or lost, and that wearing appropriate clothing and footwear are basic safety precautions.
Express Assumption of Risk and Responsibility: In recognition of the inherent risks of the activity that I or any minor for which I am responsible will engage in, I affirm that I am physically and mentally capable of participating in the activity and/or using equipment. I realize it is my responsibility to inform the camp staff of any and all medical conditions and/or physical activity concerns I may have, and to limit my participation in any way I deem appropriate. I participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness, including death, and any expenses as a result of my negligence. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I voluntarily and knowingly assume the risk(s) of personal injury, accidents and/or illnesses or disease, including, but not limited to sprains, torn muscles and/or ligaments; fractured or broken bones; eye damage; cuts, punctures, wounds, scrapes, and abrasions; spinal injuries; contusions; animal bite or attack; insect bite or allergic reaction; shock; paralysis and/or death; and acknowledge that during the activity I may experience fatigue, chill and/or dizziness that may diminish my reaction time and increase the risk of an accident.
Covenant of Good Faith: I recognize that you, as provider of services, will operate under a covenant of good faith and fair dealing, but that you may find it necessary to terminate an activity due to forces of nature; medical necessities or problems in the group; and/or refuse or terminate the participation of any person you judge to be incapable of meeting the rigors or requirements of participating in the activity. I accept your right to take such actions for the safety of me and/or other participants. I acknowledge that no guarantees have been made with respect to activity objectives.
Authorization: I hereby authorize any medical treatment deemed necessary for me in the event of any injury or illness while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my behalf.
Release: In consideration of services or property provided, I, any heirs, personal representatives or assigns, do hereby release: Ligonier Camp and Conference Center, its principals, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability. I have read and understand the foregoing acknowledgement of risk, assumption of risk and responsibility, and release of liability. I understand that by signing this form we may be waiving valuable legal rights. These signatures on this document are also intended to bind all heirs, representatives, executors, administrators, successors and assigns. I also give permission for my participation in any camp programs taking place during my stay; to travel in camp vehicles for off camp property trips. I also give permission for pictures/videos in which I appear to be used in camp brochures, fliers, and/or other promotional materials published and distributed by the camp without compensation.
WILDLIFE ACKNOWLEDGEMENT OF RISK
I am aware that because of the nature of attending an outdoor adventure camp, I may be exposed to external risks that are uncontrollable due to the wildlife and habitats found in a natural outdoor setting and that these risks could result in injury, illness or other harm. These risks include, but are not limited to viruses and communicable diseases gotten from insect or tick borne pathogens, water borne pathogens, animal borne pathogens, or organisms found in various natural habitats. Although Ligonier Camp and Conference Center takes seriously our role of protecting individuals from these potential risks, it is impossible to remove all dangers from lakes, ponds, woods, fields, rustic cabins, and all other natural and manmade settings where wildlife can be found.
By checking this box I am acknowledging that I am aware of these risks and will not hold Ligonier Camp and Conference Center liable for any of the above-mentioned or unforeseeable dangers and agree to take financial responsibility for the potential resulting injury(ies), illness(es) or harm.
Signature (10th Group Member)
(Required)
I agree and understand that by signing my name below and submitting this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Do You Have Any Food Allergies?
(Required)
Yes
No
Please Describe Food Allergies Below:
(Required)
Do You Have Any Food Allergies? (2nd Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (2nd Group Member):
(Required)
Do You Have Any Food Allergies? (3rd Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (3rd Group Member):
(Required)
Do You Have Any Food Allergies? (4th Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (4th Group Member):
(Required)
Do You Have Any Food Allergies? (5th Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (5th Group Member):
(Required)
Do You Have Any Food Allergies? (6th Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (6th Group Member):
(Required)
Do You Have Any Food Allergies? (7th Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (7th Group Member):
(Required)
Do You Have Any Food Allergies? (8th Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (8th Group Member):
(Required)
Do You Have Any Food Allergies? (9th Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (9th Group Member):
(Required)
Do You Have Any Food Allergies? (10th Group Member)
(Required)
Yes
No
Please Describe Food Allergies Below (10th Group Member):
(Required)
Would you like a boxed lunch on Monday, March 16?
(Required)
The first meal included in standard registration is dinner on Monday, March 16th. Boxed lunches for Monday are available for those arriving earlier in the day. Boxed lunches are available for $10 each.
Yes
No
Boxed Lunch
Quantity
(Required)
Price:
$10.00
Quantity
Coupon
Total
Credit Card
(Required)