Revive 2018 Group Registration

September 22, 2018 1:00pm—8:30pm | Please fill out this form and click submit to register your group for Revive 2018
Group Info

 
 
 
 
 
 
 
 
T-Shirt Order

Youth (adult sizes)
Please list the number of t-shirts you will need in each size for the youth attending
 
 
 
 
 
Adult Chaperones (adult sizes)
Please list the number of t-shirts you will need in each size for the adults attending
 
 
 
 
 
 
Liability & Medical Release

I, being the representative of the group registering for this event, do understand that it is my responsibility to collect and store the liability & medical release forms, provided online or in person by Ablaze Ministries, for the participants registering with my group.

The collected liability & medical release forms will be brought with me to the event and accessible to me at any time during the event, using either physical or electronic means, in case of an emergency involving the participants within my group.

To the extent permitted by law, I release and agree to indemnify and hold harmless Ablaze Ministries and the Catholic Diocese of Austin, including their employees, contractors, clergy, agents, facilitators and volunteers from any and all liability, claims, demand and costs which may arise as a result of this group's participation in this event or which is, in any way, related to such participation. This paragraph covers loss under any theory of loss (negligence or otherwise) including but not limited to personal injury or property damage. The participants and their parents/guardians assume all risk of injury or loss to themselves or their property.

By typing my name below, I agree that it represents my electronic signature and is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.
Please select all that apply.
 
 

Description

September 22, 2018 1:00pm—8:30pm
Please fill out this form and click submit to register your group for Revive 2018