Disciple Now Online Registration Form 2020

Disciple Now 2020

  • Emergency Contact
  • Emergency Contact
  • Must have this in by Feb 26 in order to guarantee getting the correct size
  • Price: $50.00
    Your student is not officially registered until both form and registration fee have been paid. Please bring payment to the church or mail it in to 1 E 22nd St Atlantic IA 50022
  • By typing my name I acknowledge that participation in the activity described above involves risk to the participant (and to the participant’s parents or guardian if the participant is a minor), and may result various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In consideration for the opportunity to participate in the activity described above (the “activity”), the participant (or the participant’s parent/ guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or loss of sustained during the activity or during transportation to and from the activity, as well as any medical treatment that is rendered to the participant that is authorized by the sponsor or its agents. Further the participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the activity sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise. If a dispute over this agreement or any claim for damages arises, the participant (or parent/ guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the participant (or parent/ guardian) and the activity sponsor cannot agree upon such a process, the dispute will be submitted to a three member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.