Ministries at Calvary Community Church of Tampa

4811 George Rd. Tampa, FL 33634

*PLEASE READ ALL INFORMATION BELOW BEFORE SUBMITTING FORM*

The TAMPA YOUTH RANCH “ALL NIGHTER” will be taking place on September 1 – 2, 2017. The event begins at Calvary Community Church of Tampa at 10PM and will conclude at 7AM. Students will get to participate in basketball tournaments, glow in the dark dodgeball, ultimate frisbee, laser tag, and skating at Skateworld. Transportation is available to and from the event. Be sure to signify on the form if you need to have transportation to the event.

Registration for the TAMPA YOUTH RANCH “ALL NIGHTER” is $13.00 per child. Upon completion of this form, you will be directed to a PayPal site to complete payment. Cash payments will also be accepted the night of the event. Submission of the form seals a spot for you in the event!

Also, TAMPA YOUTH RANCH suggests students to bring an additional $15 to spend at Skate world for food, tokens, and prizes. Breakfast will be provided for students before the event is over.

 

I, the undersigned (parent or guardian), hereby consent to my child participating in the TAMPA YOUTH RANCH “ALL NIGHTER” ON SEPTEMBER 1 – 2, 2017. In the event an emergency occurs, I may be reached at the telephone number listed below.  If I cannot be reached, I hereby authorize (an adult chaperone) to make emergency medical decisions for my child. I understand and hereby agree to assume all of the risks which may be encountered on said activity, including activities preliminary and subsequent thereto.  I do hereby agree to hold CALVARY COMMUNITY CHURCH OF TAMPA, and its agents harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities.

I expressly agree that this release waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall notwithstanding continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

I further state that I have carefully read the foregoing release and know the contents thereof and by submitting this online form I accept the terms of this entire agreement as my own free act. This is a legally binding agreement which I have read and understand.


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