Real Estate Investment Talk Radio Featuring Robert Helms

Size: px
Start display at page:

Download "Real Estate Investment Talk Radio Featuring Robert Helms"

Transcription

1 Real Estate Investment Talk Radio Featuring Robert Helms realestateguysradio.com The Real Estate Guys 14 th Annual Investor Summit at Sea Registration Packet Join us for an AMAZING week of education, intelligence, inspiration, networking and fun! SOVEREIGN MAN ADVANCE REGISTRATION OPPORTUNITY With only 180 spaces available, this event will sell out quickly. Alumni have already reserved nearly half our inventory. Registration opens to the public May 15 th, Attendees of the Sovereign Man Global Investment Summit may PRE-REGISTER with a $1000 per person deposit. Register by May 10 th and the cruise line will throw in up to two unlimited premium beverage packages per cabin. TO SECURE YOUR RESERVATION...please complete the following forms: Registration Form - Please complete ONE PER PERSON (children too!) Participation Agreement - Please complete ONE PER PERSON (children too!). Payment Authorization - If paying by credit card, ONE Payment Authorization per family or group that is on the same credit card. If you prefer to pay by wire or check, then you don t need a Payment Authorization form. See the Registration Form for more details. Optional Travel Insurance - This is not required, but is strongly encouraged by our Travel Agent to protect your Summit investment in the event a covered occurrence precludes you from attending. If you have questions or wish to purchase this coverage, please contact Cruise Holidays of Southlake (Texas, Central Time) directly at When your forms are completed, please send them to us via , fax, shipping service or postal service. If you have questions about the Summit or the registration process, or have special needs to discuss, please call us. We re looking forward to seeing YOU on the 2016 Investor Summit at Sea The Real Estate Guys Summit at Sea Team Tel: x 1 Fax: summit@realestateguysradio.com Mail: 848 N. Rainbow Blvd. #3168, Las Vegas, NV P.S. IMPORTANT: Once you re enrolled, we ll send you a confirmation making you an official Summiteer. We ll also subscribe you to our Summiteer Only mailing list. This list is used to communicate important information to all Summiteers. We use a double opt-in list to avoid having messages spam filtered, but you MUST respond to the request to confirm. Once you do, you ll begin receiving important information and updates as the Summit approaches.

2 The 14th Annual Investor Summit at Sea ADVANCE Registration Form (rev ) February 26 th - March 5 th, 2016 Miami Cozumel Grand Caymen Jamaica Bahamas Please complete and submit ONE registration form PER PERSON (including children). Type or print neatly in dark ink. EACH person must sign the Participation Agreement. Parents must sign on behalf of children 17 years or under. Pay in full by check or wire transfer and each Single or Double Occupancy adult receives $100 shipboard credit for incidental expenses. Questions? Call x1 or summit@realestateguysradio.com (please add this to your safe senders list!) ATTENDEE INFORMATION: ONE FORM PER PERSON - ALL INFORMATION IS REQUIRED FULL name EXACTLY as on Passport: Name for Summit name badge: First Name: Last Name: Mailing address: City, State, Country, Postal Code: Country of Residency: Best day phone (with area code): Citizenship: Gender: Male Female Please find me a same sex roommate for Guaranteed Share* Cell Phone: Date of Birth: Month: Day: Year: Address: Emergency Contact: Dietary Restrictions / Special Needs: Person(s) you are rooming with (maximum 4 persons per stateroom). Complete a SEPARATE registration form for EACH person. How did you hear about the Summit? Single Occupancy (no roommate) Phone: Full name: Adult Child Full name: Adult Child Full name: Adult Child SOVEREIGN MAN GLOBAL SUMMIT CANCUN Double Occupancy (w/ 1 other adult) Office Use: Date Rec d: Auth. Code: Summit # : 3 rd / 4 th Occupant (w/ 2+ other adults) Child 17 or less (in room w/ 2 adults) Number of Summits already Attended: Child 17 or less (in room w/ 1 adult) Stateroom Type Inside (no window): $ 6,397 $ 4,997 $ 4,597 $ 997 $ 1,797 Balcony: $ 7,597 $ 5,997 $ 5,597 $ 997 $ 2,297 Concierge: $ 7,997 $ 6,197 $ 5,797 $ 997 $ 2,497 Junior Suite: $ 9,797 $ 7,397 N/A N/A N/A Celebrity Suite: $11,397 $ 8,197 $ 7,197 $ 1,297 $ 3,697 Family Suites are available but limited in supply. Please contact us for pricing and availability. REGISTRATION CALCULATION 1 - PRICING SUBJECT TO CHANGE AFTER NOVEMBER 1 st, Enter Base Registration from the table above: $ Questions? Call x 1 Alumni Discount DEDUCT $200 $ Complete 1 Registration Form & Participation Agreement PER PERSON Guaranteed Share 3 ADD $397 $ If paying by credit card, complete separate Payment Authorization Form Total Registration Due: $ Scan and ALL completed forms to Deposit ($1,000/adult; $250/child) with Registration: $ summit@realestateguysradio.com or fax to Balance Due ( full balance due November 1, ) $ Pay in full by check/wire and receive a $100 shipboard credit! 5 CANCELLATION & REFUND POLICY: Life happens. If you need to cancel, refunds are subject to the following cancellation fees: Before Jun 31, $200 per person; Jul 1 to Sep 30, 2015 $500 per person; Oct 1 to Nov 1, $1000 per person; Nov 1 to Dec 31, % of registration per person; after JAN 1, NO REFUNDS (sorry!). Optional travel insurance recommended. 1 Discounts do NOT apply to any CHILD registration. 2 Due to cruise line price fluctuations, final Summit cost may vary from prices shown. If actual price is higher than amount authorized, payment will not be processed without your final approval. 3 Guaranteed Share means you sign up alone, but add $397 to the Double Occupancy rate (saves you money!) and we will assign you a same sex roommate for both the hotel days in Miami and the sea days on the cruise ship. 4 Registrations submitted after December 1 st, 2014 must be accompanied by payment in full. 5 If paying by check or money order, make payable to: The Real Estate Guys, 848 N. Rainbow Blvd., #3168, Las Vegas, NV To wire funds, contact us for wiring instructions.

3 Participation Agreement The Real Estate Guys Investor Summit at Sea and related events including, but not limited to, the optional real estate field trip shore excursion and the optional private beach party (collectively, the Summit ) is organized by The Real Estate Guys, in association with Cruise Holidays of Southlake and various other related corporations and individuals (collectively, Sponsor ). As a condition of participation in the Summit, the undersigned ( Participant ) understands and agrees to the following terms and conditions: Name and Likeness Release At various times and places during the Summit, Sponsor may photograph, video or audio record or otherwise capture Participant s image, name or voice ( Participant s Likeness ). Participant grants permission to Sponsor to utilize Participant s Likeness for any and all purposes of promotion and publicity for future Summits and related events such as field trips and shore excursions, in any and all manner or media, throughout the world in perpetuity. Participant waives any right to inspect or approve any finished product or any advertising copy that may be used in connection herewith or the use to which it is applied. Participant warrants that he/she has the right to make this release and that by granting this release and the rights conveyed thereby, Participant is not infringing on the rights of any third party. Participant assigns to Sponsor all rights, title, and interest, including full rights of assignability, in any and all media in which Participant s Likeness has been captured in connection with the Summit. Assumption of Risk Participant understands and agrees that participation in the Summit carries a degree of risk to person and property. In particular, should Participant elect to attend the optional field trip, Participant understands that he/she may be traveling by small boat, plane or bus, and/or touring land that is undeveloped, developed or under development, and that such activities may involve the risk of serious injury, illness, permanent disability, dismemberment and death, and may also involve the risk of severe economic harm and property loss and damage. Participant understands that these risks may result from the action, negligence and/or failure to act by Participant and/or others including but not limited to other participants, Sponsor, third party organizers and/or volunteers. Participant also understands that there may be risks involved which are not currently known or reasonably foreseen by Participant or Sponsor. Participant assumes all of the aforementioned risks including the risk of any negligence by other participants or by Sponsor (including individual owners, directors, officers, affiliates, employees or agents thereof) and accepts personal responsibility for any injury (including but not limited to personal injury, disability, dismemberment and death), illness, damage, loss, claim, liability, or expense, of any kind or nature, that Participant or Participant s property may suffer arising out of or in connection with Participant s participation in the Summit. Liability Release and Indemnity Agreement I, Participant, hereby release and forever discharge and agree to save and hold harmless Sponsor and their respective affiliates, including volunteers, officers, employees, and agents of any and all of them, and the other participants in the Summit (each such entity or individual referred to herein as Released Party ) of and from any and all injuries (including, but not limited to personal injury, disability, dismemberment and death), illness, damage, loss, claim, liability, or expense, of any kind or nature that are caused or alleged to be caused in whole or in part by the action, negligence, and/or failure to act of any Released Party and that arise out of or in connection with the Summit. Medical Treatment In connection with any injury that I, Participant, may sustain or other medical condition I may experience during my participation in or attendance at the Summit, I authorize any emergency first aid, medication, medical treatment or emergency surgery deemed necessary by the attending medical personnel if I am not able to act on my own behalf. Similarly, I grant such permission on behalf of any minor children or other persons attending the Summit for whom I have authority for such decisions. Severability of Provision I, Participant, agree that the foregoing releases are intended to be as broad and inclusive as is permitted by law. Any provision herein found by a court of valid jurisdiction to be void and unenforceable shall not affect the validity or enforceability of any other provision herein. I HAVE READ AND UNDERSTOOD THIS PARTICIPATION AGREEMENT INCLUDING THE NAME AND LIKENESS RELEASE AND THE LIABILITY RELEASE AND INDEMNITY AGREEMENT. I UNDERSTAND THAT BY SIGNING THIS RELEASE, I HAVE FORFEITED SUBSTANTIAL RIGHTS. I HAVE VOLUNTARILY SIGNED THIS RELEASE. Participant s Printed Name: Participant s Signature: Date:

4 Credit Card Payment Authorization Event Name: SUMMIT Registrant(s) TOTAL CHARGE AMOUNT AUTHORIZED: Registration Fee Credit Card Type: American Express Discover Master Card Visa Credit Card Number: Expiration Date (MM/YY): Card Security Code: Name as it appear on card: Statement Billing Address: Statement Billing City: Statement Billing State/Province: Statement Billing Country: Postal Code: IMPORTANT TERMS Registrations are subject to cancellation fees and may be non-refundable Charges may appear on your credit card statement as TREG or Cruise Holidays AUTHORIZATION: I understand and accept the terms and authorize these charges. Signature Name (Print) Date Phone with Area Code

5

6

Real Estate Investment Talk Radio Featuring Robert Helms

Real Estate Investment Talk Radio Featuring Robert Helms Real Estate Investment Talk Radio Featuring Robert Helms realestateguysradio.com 1-888-489-7723 The Real Estate Guys Annual Investor Summit at Sea Registration Packet Join us for an AMAZING week of education,

More information

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY PUEBLO RANGERS Individual Waiver Soccer Club PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY (MUST BE COMPLETED AND PRESENTED AT LEAST 30 MINUTES PRIOR TO YOUR FIRST

More information

Summer Camp Application INTERNATIONAL DEVELOPMENT 101

Summer Camp Application INTERNATIONAL DEVELOPMENT 101 INTERNATIONAL DEVELOPMENT 101 Student Information Student Name: Sex : Male / Female Student Preferred/Nickname: Mailing Address: Home Phone Number: Cell Phone Number: School: Grade (Entering): Date of

More information

STREET ADDRESS CITY STATE ZIP / / / /

STREET ADDRESS CITY STATE ZIP / / / / Please fill out the registration for completely and return to : YMCA of Northern Michigan 434 East Lake Street, Petoskey, MI 49770 231-348-8393 Fax 231-348-8402 Camper Information CHILD S NAME GENDER Male

More information

5-STAR ACADEMY OF PERFORMING ARTS Student Registration Packet- WINTER 2019

5-STAR ACADEMY OF PERFORMING ARTS Student Registration Packet- WINTER 2019 5-STAR ACADEMY OF PERFORMING ARTS Student Registration Packet- WINTER 2019 STUDENT NAME: BIRTH DATE: GENDER: _ ADDRESS: PARENT NAME: PARENT EMAIL: PARENT PHONE NUMBER: PARENT WORK NUMBER: SECONDARY CONTACT

More information

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For:

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For: MIAMI ROWING & WATERSPORTS CENTER, INC. 2017 Membership (6 pages) Application For: FAMILY MEMBERSHIP: Initiation Fee: $500.00 Monthly Dues: $110.00 Annual Due $1320.00 Equipment Fund Monthly Due $15.00

More information

CALIFORNIA STATE UNIVERSITY, LONG BEACH RELEASE OF LIABILITY, PROMISE NOT TO SUE, ASSUMPTION OF RISK AND AGREEMENT TO PAY CLAIMS

CALIFORNIA STATE UNIVERSITY, LONG BEACH RELEASE OF LIABILITY, PROMISE NOT TO SUE, ASSUMPTION OF RISK AND AGREEMENT TO PAY CLAIMS CALIFORNIA STATE UNIVERSITY, LONG BEACH RELEASE OF LIABILITY, PROMISE NOT TO SUE, ASSUMPTION OF RISK AND AGREEMENT TO PAY CLAIMS Participant Name (Print): Field Trip, Voluntary or Extracurricular Activity:

More information

Tenors Fly Away Experience Contest

Tenors Fly Away Experience Contest Tenors Fly Away Experience Contest WINNER S OFFICIAL CONTEST DECLARATION & RELEASE FORM Selected Entrant s Legal Name: Complete Address: Phone Number: Day: Evening: The undersigned acknowledges that he/she

More information

Registration Form - Contract

Registration Form - Contract Contact information STUDENT OVERNIGHT TRIP Registration Form - Contract Student s first name Student s last name (as it appears on your Student ID) Address Postal code Telephone Cellphone you will be travelling

More information

REGISTRATION FORMS/INSTRUCTIONS

REGISTRATION FORMS/INSTRUCTIONS NW-0 REGISTRATION FORMS/INSTRUCTIONS These completed and signed forms are required at the time of registration on Oahu: NW-1 NW-2 NW-3 NW-4 NW-5 NW-6 NW-7 Entry Application Crew List Na Wahine O Ke Kai

More information

Indonesia. October Oct. 12th - Oct. 23rd. Includes: Pacific Wilderness, Inc. Diving & 2 Nights in Singapore!

Indonesia. October Oct. 12th - Oct. 23rd. Includes: Pacific Wilderness, Inc. Diving & 2 Nights in Singapore! Indonesia October 2017 $3,399 Includes Air, Diving & 2 Nights in Singapore! Join Us in October 2017 in beautiful Indonesia for another Dive Adventure! We ll dive North Sulawesi from the Tasik-Ria Resort

More information

SUMMER CAMP ACKNOWLEDGEMENT OF RISK FORM

SUMMER CAMP ACKNOWLEDGEMENT OF RISK FORM SUMMER CAMP ACKNOWLEDGEMENT OF RISK FORM I,, am the parent and/or legal guardian of, a minor child under the age of 18 years. I would like to have my child participate in the following CAMP/PROGRAM at

More information

Volunteer Application

Volunteer Application Partners for Rural Health in the Dominican Republic www.prhdr.org Date Volunteer Application Please make sure to complete all information. If the applicant is under the age of 18, this form must be filled

More information

DAY CAMP 2018 REGISTRATION FORM

DAY CAMP 2018 REGISTRATION FORM DAY CAMP 2018 REGISTRATION FORM PARTICIPANT INFORMATION FIRST NAME M.I. LAST NAME D.O.B. GENDER Male Female PARENT / GUARDIAN INFORMATION FIRST NAME M.I. LAST NAME D.O.B. GENDER Male Female STREET ADDRESS

More information

TOUR PRICING (Based on the following group sizes: MAIN TOUR - Group of 16; Gobekli Tepe Extension - Group of 10)

TOUR PRICING (Based on the following group sizes: MAIN TOUR - Group of 16; Gobekli Tepe Extension - Group of 10) Andrea Mikana-Pinkham, Director 888 501-3853 (toll free in the US) or 928 284-1429 www.sacredsitesjourneys.com info@sacredsitesjourneys.com TURKEY: Ancient Temples & Sacred Sites of the Great Goddess September

More information

CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR

CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR Please print clearly. Completion of the registration process is required for each participant prior to program start

More information

Booking Conditions. Group Travel. Pricing. Itinerary Variations. Booking Procedures. Enrollment. Making Payments

Booking Conditions. Group Travel. Pricing. Itinerary Variations. Booking Procedures. Enrollment. Making Payments Booking Conditions Group Travel Study Abroad Association will travel with a group of 10-30 travelers per trip. Groups are teamed up by age and trip focus. For every 10 participants,study Abroad Association

More information

TOUR PRICING. NOTE: Sacred Sites Journeys tours are smoke-free. E-cigarettes are allowed.

TOUR PRICING. NOTE: Sacred Sites Journeys tours are smoke-free. E-cigarettes are allowed. Sacred Sites Journeys A Division of Heartlight Fellowship Andrea Mikana-Pinkham, Director PERU: Ancient Mysteries of Machu Picchu, Cusco & the Sacred Valley of the Incas June 4-13, 2017 Post-Tour Extension

More information

ASSANTE DIRTY DASH FOR REBOUND - 5K MUD RUN RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

ASSANTE DIRTY DASH FOR REBOUND - 5K MUD RUN RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT ASSANTE DIRTY DASH FOR REBOUND - 5K MUD RUN RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT Participant s Name: Age: Date of Birth : (M) (D) (Y) Address: City: Province:

More information

INFORMED LETTER OF CONSENT for EASM S MIDDLE SCHOOL RETREAT 02/23/ /24/2018

INFORMED LETTER OF CONSENT for EASM S MIDDLE SCHOOL RETREAT 02/23/ /24/2018 INFORMED LETTER OF CONSENT for EASM S MIDDLE SCHOOL RETREAT 02/23/2018 02/24/2018 Details of the activity: The Middle School retreat is an overnight event sponsored by Edgewater Alliance Church. Students

More information

MAIN TOUR August 9 18, 2015: Person, double occupancy, land only (Group of 10) $2, via check or money order $2, via credit card

MAIN TOUR August 9 18, 2015: Person, double occupancy, land only (Group of 10) $2, via check or money order $2, via credit card Sacred Sites Journeys A Division of Heartlight Fellowship Andrea Mikana-Pinkham, Director PERU: Sacred Sites: Machu Picchu, Cusco & Sacred Valley of the Incas August 9 18, 2015 Extension to Lake Titicaca:

More information

Please make sure that the following are completed and submitted with your application:

Please make sure that the following are completed and submitted with your application: To: From: Subject: AMA Supercross Applicants AMA Racing License Package for the 2011 Race Season Enclosed please find all the necessary information and forms needed for you to apply for your AMA Supercross

More information

Climb UP So Kids Can Grow UP

Climb UP So Kids Can Grow UP NEPAL EVENT TRIP APPLICATION EVENT TRIP PREFERENCE: Country/Countries of Interest Nepal Trip Dates PERSONAL INFORMATION: First Name Middle Name Last Name Mailing address City State / Province Zip / Postal

More information

2015 YOUTH SUMMIT: TOGETHER WE CAN

2015 YOUTH SUMMIT: TOGETHER WE CAN 2015 YOUTH SUMMIT: TOGETHER WE CAN What is Project UNIFY? Project UNIFY is a sports and education program that partners students with and without intellectual disabilities to create a more inclusive school

More information

Ten Thousand Waves Tours LLC 2019 REGISTRATION

Ten Thousand Waves Tours LLC 2019 REGISTRATION Ten Thousand Waves Tours LLC 2019 REGISTRATION MOUNTAINS & MONKEYS TOUR October 18 November 4, 2019 747,000 KYOTO, KYUSHU & THE KUMANO KODO November 7-25, 2019 848,000 TOKYO TIME extension between the

More information

Travelearn Participant Form

Travelearn Participant Form Travelearn Participant Form Travelearn Program Faculty Coordinator Name Dates of Program This form must be completed in full, and must be accompanied by the following documents: $150 Administrative Fee

More information

Blue Chip BOTT Event Agreement and Waiver

Blue Chip BOTT Event Agreement and Waiver Blue Chip BOTT Event Agreement and Waiver BLUE CHIP AGREEMENT AND LIABILITY WAIVER (this "Agreement and Waiver") PLEASE READ THE FOLLOWING AGREEMENT CAREFULLY, AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS. BY

More information

Blue Zone Yoga. Paros, Greece Sept 30 Oct 7, 2018

Blue Zone Yoga. Paros, Greece Sept 30 Oct 7, 2018 Blue Zone Yoga Paros, Greece Sept 30 Oct 7, 2018 Trip Participant Agreement Terms and Conditions Name: Mobile: Home Phone: Address: City: State: Zip: E-mail: Emergency Contact: Relationship: Phone: Medical

More information

TRIP COMMITMENT FORM India March 17 31, Emergency Contact Information $1,183 YES / NO

TRIP COMMITMENT FORM India March 17 31, Emergency Contact Information $1,183 YES / NO TRIP COMMITMENT FORM India March 17 31, 2019 Contact Information First Name: Last Name: Name As It Appears On Passport: Passport Information Number: D.O.B: Issued: Expires: Street Address: City, State,

More information

PARTICIPANT AGREEMENT (For Adult Participants) RELEASE OF LIABILITY, VOLUNTARY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

PARTICIPANT AGREEMENT (For Adult Participants) RELEASE OF LIABILITY, VOLUNTARY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT EXHIBIT D PLEASE READ CAREFULLY (For Adult Participants) RELEASE OF LIABILITY, VOLUNTARY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I,, a person being over the age of eighteen, hereby enter this RELEASE

More information

REGISTRATION FORM WAIVER. E-M AIL ADDRESS: Driver License # DATE OF BIRTH: AGE AS OF DEC. 31, 2018: ADULT T-SHIRT SIZE (S - XXXL):

REGISTRATION FORM WAIVER. E-M AIL ADDRESS: Driver License # DATE OF BIRTH: AGE AS OF DEC. 31, 2018: ADULT T-SHIRT SIZE (S - XXXL): REGISTRATION FORM NAME: GENDER: E-M AIL ADDRESS: Driver License # DATE OF BIRTH: AGE AS OF DEC. 31, 2018: ADULT T-SHIRT SIZE (S - XXXL): MAILING ADDRESS: CITY: STATE: ZIP CODE: PRIMARY PHONE: EMERGENCY

More information

SUMMER CAMP REGISTRATION

SUMMER CAMP REGISTRATION SUMMER CAMP REGISTRATION 2019 Please return completed registration to: YMCA of Northern Michigan, 523 W. Jefferson Street, Petoskey, MI 49770. CAMPER INFORMATION Child s First Name: Last Name: (One form

More information

2018 Jr. Celtics School Vacation Week Two Day Clinic Registration Packet

2018 Jr. Celtics School Vacation Week Two Day Clinic Registration Packet 2018 Jr. Celtics School Vacation Week Two Day Clinic Registration Packet For more information call 617-399-8432 or email Sam at: jrceltics@celtics.com When: Monday, February 19, 2018 & Tuesday, February

More information

Hamilton and Friends Musical Theatre Camp

Hamilton and Friends Musical Theatre Camp JULY 9-20 SUMMER of 18! (Ages 9-13) Registration Form: $375.00/wk Early Bird Rate (now - March 1) $400.00/wk Standard Rate (beginning March 2) Child s Name: Date of Birth: Age: School Grade in the Fall:

More information

AMBASSADORS IN MISSION

AMBASSADORS IN MISSION PARENTAL CONSENT AND AUTHORIZATION For Minors under the Age of 18 Foreign Travel aim@ag.org (417)862-2781 ext. 4029 The General Council of the Assemblies of God 1445 N. Boonville Ave. Springfield, MO 65802

More information

PERU: Sacred Sites of Machu Picchu, Cusco and Sacred Valley of the Incas July 3-13, 2016 Post-Tour Extension to Lake Titicaca: July 13-16, 2016

PERU: Sacred Sites of Machu Picchu, Cusco and Sacred Valley of the Incas July 3-13, 2016 Post-Tour Extension to Lake Titicaca: July 13-16, 2016 Sacred Sites Journeys A Division of Heartlight Fellowship Andrea Mikana-Pinkham, Director PERU: Sacred Sites of Machu Picchu, Cusco and Sacred Valley of the Incas July 3-13, 2016 Post-Tour Extension to

More information

Travel Registration Packet

Travel Registration Packet Travel Registration Packet Office of Global Opportunities, Ohio University PLEASE SUBMIT THIS PACKET, PLUS YOUR FLIGHT ITINERARY AND A COPY OF YOUR PASSPORT, TO OGO AT LEAST 3 WEEKS PRIOR TO DEPARTURE.

More information

Stark Museum of Art Application for Summer 2018 Art Quest Program, Health Form/Consent, and Liability Waiver

Stark Museum of Art Application for Summer 2018 Art Quest Program, Health Form/Consent, and Liability Waiver Stark Museum of Art Application for Summer 2018 Art Quest Program, Health Form/Consent, and Liability Waiver Camp Sessions Listed on Page 2 Application Due June 22, 2018 Application must be complete in

More information

TURNAROUND CAPITAL FORUM THURSDAY, FEBRUARY 7 3:30 5:30 P.M. RE SERV E YOUR TA BLE AT T HE T URN A ROUND C A PI TA L FORUM

TURNAROUND CAPITAL FORUM THURSDAY, FEBRUARY 7 3:30 5:30 P.M. RE SERV E YOUR TA BLE AT T HE T URN A ROUND C A PI TA L FORUM TURNAROUND CAPITAL FORUM and closing reception THURSDAY, FEBRUARY 7 3:30 5:30 P.M. RE SERV E YOUR TA BLE AT T HE T URN A ROUND C A PI TA L FORUM ABOUT THE TURNAROUND CAPITAL FORUM AND CLOSING RECEPTION

More information

FLAVORS OF WISCONSIN JULY 14-20, 2019 REGISTRATION FORM. (Used only to communicate with you about the tour.) Emergency Contact: Phone

FLAVORS OF WISCONSIN JULY 14-20, 2019 REGISTRATION FORM.  (Used only to communicate with you about the tour.) Emergency Contact: Phone FLAVORS OF WISCONSIN JULY 14-20, 2019 REGISTRATION FORM Name Address City State Zip Phone *Gender *Age Email (Used only to communicate with you about the tour.) Emergency Contact: Phone *Fill in gender

More information

Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church

Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church th Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church Session II: June 12th - June 16th, Performance June 13th; Music On Wheels Academy Music Camp

More information

SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2018 EcoRangers Application, Health Form/Consent, and Liability Waiver

SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2018 EcoRangers Application, Health Form/Consent, and Liability Waiver SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2018 EcoRangers Application, Health Form/Consent, and Liability Waiver CAMP SESSIONS AND COSTS LISTED ON PAGE 2 APPLICATION DUE DATE: JUNE 22, 2018 Application

More information

All Documents in this Packet MUST BE COMPLETED and Returned to the Group Leader along with your Trip Deposit in order to Reserve your Space.

All Documents in this Packet MUST BE COMPLETED and Returned to the Group Leader along with your Trip Deposit in order to Reserve your Space. DOCUMENT CHECK-LIST All Documents in this Packet MUST BE COMPLETED and Returned to the Group Leader along with your Trip Deposit in order to Reserve your Space. Please ask for a Copy of these Documents

More information

November 29 or 30 December 10, 2012 PRICING. NOTE: All prices are in US Dollars.

November 29 or 30 December 10, 2012 PRICING. NOTE: All prices are in US Dollars. Sacred Sites Journeys Andrea Mikana-Pinkham, Director 888 501-3853 (Toll Free in the USA) or 928 284-2384 www.sacredsitesjourneys.com info@sacredsitesjourneys.com EGYPT: Gigal s Unique Tour of Egypt Presented

More information

Malibu Jewish Center and Synagogue. with Rabbi Judith HaLevy & Cantor Marcelo Gindlin. $3,300 per person for land package based on double occupancy

Malibu Jewish Center and Synagogue. with Rabbi Judith HaLevy & Cantor Marcelo Gindlin. $3,300 per person for land package based on double occupancy with Rabbi Judith HaLevy & Cantor Marcelo Gindlin $3,300 per person for land package based on double occupancy Please note that cancellations may result in land and/or air penalties and vary with each

More information

FOR THE LOVE OF LEARNING 3110 SE Aster Lane, Stuart, FL

FOR THE LOVE OF LEARNING 3110 SE Aster Lane, Stuart, FL FOR THE LOVE OF LEARNING 3110 SE Aster Lane, Stuart, FL 34994 772-924-1070 ForTheLoveOfLearningFL@GMail.com 2019/2020 REGISTRATION Student Name: D.O.B.: Age on Sept 2019: Address City State Zip Home Phone#

More information

MEDICAL INFORMATION FORM

MEDICAL INFORMATION FORM SONOMA STATE UNIVERSITY SUMMER BRIDGE PROGRAM MEDICAL INFORMATION FORM In the event of an illness or injury the medical staff will need the following information to properly treat you. If you are a minor,

More information

Oregon 4-H Member Enrollment Form Enrollment Deadline December 10 th

Oregon 4-H Member Enrollment Form Enrollment Deadline December 10 th Lake County Extension Service 103 South E St, Lakeview OR 97630 541-947-6054 $25 Enrollment Fee (Make check payable to: 4-H Association) Family Information: Oregon 4-H Member Enrollment Form Enrollment

More information

DMV Birthday Bash 12

DMV Birthday Bash 12 DMV Birthday Bash 12 July 13 th - 20 st, 2019 NEGRIL, JAMAICA HEDONISM 2 Another Week of No Worries EVERYDAY WE LIT Send your nonrefundable $200 deposit Through Paypal to Dmvbirthdaybash2019@gmail.com

More information

BE A PART OF SOMETHING GREATER Membership Application BRAD AKINS BRANCH

BE A PART OF SOMETHING GREATER Membership Application BRAD AKINS BRANCH BE A PART OF SOMETHING GREATER Membership Application BRAD AKINS BRANCH YMCA Mission: To put Christian principles into practice through programs that build healthy spirit, mind, and body for all. Because

More information

Oregon 4-H Member Enrollment Form

Oregon 4-H Member Enrollment Form Oregon 4-H Member Enrollment Form County 4-H Club (s) Family Information: New Enrollment.. Re-enrollment. Youth Leader.. Family Last Name Family E-mail Family Primary Phone Family Mailing Address Street/Mailing

More information

American Baptist Churches of Pennsylvania and Delaware January 30 - February 6, 2019 (Wednesday Wednesday) Haiti Mission Trip

American Baptist Churches of Pennsylvania and Delaware January 30 - February 6, 2019 (Wednesday Wednesday) Haiti Mission Trip American Baptist Churches of Pennsylvania and Delaware January 30 - February 6, 2019 (Wednesday Wednesday) Haiti Mission Trip Part 1: Mission Trip Application: The total Cost is $1,175 $400 Deposit Due

More information

2019 SUMMER DAY CAMP REGISTRATION

2019 SUMMER DAY CAMP REGISTRATION 2019 SUMMER DAY CAMP REGISTRATION Child: First Name MI Last Name [ ] YMCA Member [ ] Non Member Email Enrollment Date SUMMER DAY CAMPS CHOOSE YOUR CAMPS & LOCATION: [ ] Ages 5-12 (must have attended kindergarten)

More information

Parental or Guardian Permission and Medical Release Activity. Parental or Guardian Permission and Medical Release Activity

Parental or Guardian Permission and Medical Release Activity. Parental or Guardian Permission and Medical Release Activity Parental or Guardian Permission and Medical Release Activity Ward Stake Participant of birth Home telephone number Participant s parent or guardian Business telephone number Address City State/Province

More information

Y-CLUB AFTERSCHOOL PROGRAM

Y-CLUB AFTERSCHOOL PROGRAM 2017-2018 Y-CLUB AFTERSCHOOL PROGRAM AFTERSCHOOL PROGRAM The Y-Club Program is a fun place to be after school with lots of positive staff interaction and learning opportunities. We provide a healthy afterschool

More information

Parental Consent Form

Parental Consent Form Parents and legal guardians of minor children must complete this form and return it to the Convoy of Hope Compassion Teams. The information requested is designed to assist in providing for the safety of

More information

Release and Waiver of Liability. Release and Waiver of Liability for Adults Page 2 & 3. Release and Waiver of Liability for Minor Page 4 & 5

Release and Waiver of Liability. Release and Waiver of Liability for Adults Page 2 & 3. Release and Waiver of Liability for Minor Page 4 & 5 Release and Waiver of Liability Release and Waiver of Liability for Adults Page 2 & 3 Release and Waiver of Liability for Minor Page 4 & 5 1 Release and Waiver of Liability for Adults Adult - An adult

More information

ADULT COACHING APPLICATION

ADULT COACHING APPLICATION - MIAMI ROWING & WATERSPORTS CENTER, Inc. ADULT COACHING APPLICATION -MEMBER HRLY Private lessons where non-members and members can come and row in a one-on-one session tailored to your skill level and

More information

INTRODUCTION TO YOUR SELECT TREKS TOUR TO UGANDA

INTRODUCTION TO YOUR SELECT TREKS TOUR TO UGANDA INTRODUCTION TO YOUR SELECT TREKS TOUR TO UGANDA Welcome and thank you for your interest in traveling with Select Treks! You will be going to visit the Abayudaya community in eastern Uganda. The basic

More information

Before and After School Care

Before and After School Care Before and After School Care BLAIR FAMILY YMCA 2016-2017 School Year Registration Forms To put Christian principles into practice through programs that build a health spirit, mind and body for all. -YMCA

More information

SHORT-TERM MISSIONS APPLICATION

SHORT-TERM MISSIONS APPLICATION GENERAL INFORMATION Date Last Name First Name Middle Name Please print your name clearly EXACTLY AS IT APPEARS ON YOUR PASSPORT Present address: City State Zip DOB / / Age Gender: M F Grade Email Home

More information

PERSONAL DETAILS Please Print Clearly

PERSONAL DETAILS Please Print Clearly Dear Volunteers, Thank you for your interest in the Albania Playground Build. We are excited for the opportunity to work alongside you for the kids of Albania. The need there is tremendous so we appreciate

More information

First Name: Middle Initial: Last Name: Gender: D.O.B: / / Age: Years of YMCA Camp Participation: Address: Apt/Unit #:

First Name: Middle Initial: Last Name: Gender: D.O.B: / / Age: Years of YMCA Camp Participation: Address: Apt/Unit #: Camp Location: Camper Grade 2017-18 School Year: Does your camper require any special needs identified through Section 504 (I.D.E.A or an I.E.P)? Yes No If yes, please explain: Camper Grade 2018-19 School

More information

526 Edelweiss Village Parkway Gaylord, MI Office: (989) Fax: (989)

526 Edelweiss Village Parkway Gaylord, MI Office: (989) Fax: (989) Dear Volunteer: Welcome to the Otsego County Habitat for Humanity Family! We hope you will find volunteering with us rewarding as you join us in our mission as a nondenominational Christian housing ministry,

More information

INSURANCE INFORMATION

INSURANCE INFORMATION These forms must be completed and signed in all appropriate places by the participant, the participant s physician, and if under age 18, by the participant s legal guardian. The medical information we

More information

D.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet

D.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet D.M.G. Athletics Presents The Official Indoor/Outdoor Summer Basketball League Team Registration Packet Questions: Contact Coach Dawne Gittens at 860-929-7692 or via email at dgittens@bgchartford.org Team

More information

Volunteering What is required of a dedicated volunteer? What can you do? Can community service credit be earned by volunteering?

Volunteering What is required of a dedicated volunteer? What can you do? Can community service credit be earned by volunteering? Volunteering Habitat for Humanity is able to achieve its mission of decent affordable homes for low income families because of the many hours donated by dedicated volunteers. New Hampshire Capital Region

More information

TULANE UNIVERSITY ATHLETICS CAMPS Physical Examination Information. Date / / Name of Camp: Name of Participant: Age: Birth date: / /

TULANE UNIVERSITY ATHLETICS CAMPS Physical Examination Information. Date / / Name of Camp: Name of Participant: Age: Birth date: / / Physical Examination Information Date / / Name of Camp: Name of Participant: Age: Birth date: / / Each participant must EITHER attach a copy of a physician conducted sports examination applicable to this

More information

Consent to Participate in Activity, Emergency Medical Information, and Release

Consent to Participate in Activity, Emergency Medical Information, and Release Participant: Consent to Participate in Activity, Emergency Medical Information, and Release for Participant and Participant s heirs, executors, and administrators. I - 44 (name) Event: Parish/School:,

More information

Date of Birth Address City State Zip

Date of Birth Address City State Zip RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. You have the right to consult

More information

MEMBERSHIP APPLICATION WE RE A CAUSE WE RE MORE THAN A GYM. YMCA of Broome County

MEMBERSHIP APPLICATION WE RE A CAUSE WE RE MORE THAN A GYM. YMCA of Broome County MEMBERSHIP APPLICATION WE RE MORE THAN A GYM WE RE A CAUSE YMCA of Broome County MEMBERSHIP RATES Membership Type Monthly Payment Annual Payment (automatic withdrawal) First payment will be pro-rated based

More information

Stark Museum of Art Application for Summer 2016 Art Quest Program, Health Form/Consent, and Liability Waiver

Stark Museum of Art Application for Summer 2016 Art Quest Program, Health Form/Consent, and Liability Waiver Stark Museum of Art Application for Summer 2016 Art Quest Program, Health Form/Consent, and Liability Waiver Camp Sessions and Costs Listed on Page 2 Application Due June 9, 2016 Application must be complete

More information

MEMBERSHIP APPLICATION WE RE A CAUSE WE RE MORE THAN A GYM. YMCA of Broome County

MEMBERSHIP APPLICATION WE RE A CAUSE WE RE MORE THAN A GYM. YMCA of Broome County MEMBERSHIP APPLICATION WE RE MORE THAN A GYM WE RE A CAUSE YMCA of Broome County MEMBERSHIP RATES Membership Type Monthly Payment Annual Payment (automatic withdrawal) First payment will be pro-rated based

More information

2017 SUMMER DANCE PROGRAM NEWTON REGISTRATION AGREEMENT

2017 SUMMER DANCE PROGRAM NEWTON REGISTRATION AGREEMENT Student ID: (Office use only) Parent ID: (Office use only) 863 Washington Street, Newtonville, MA 02460 SDP@bostonballet.org 2017 SUMMER DANCE PROGRAM NEWTON REGISTRATION AGREEMENT This form must be accompanied

More information

Sustainable Agriculture Internship Application

Sustainable Agriculture Internship Application P.O. Box 437462 Kamuela, Hawai i 96743 +1 808 887-6411 Fax +1 808 885-6707 kohalacenter.org 2015 2016 Sustainable Agriculture Internship Application Please complete the application information below and

More information

TEEN LEADERSHIP DEVELOPMENT REGISTRATION FORM

TEEN LEADERSHIP DEVELOPMENT REGISTRATION FORM TEEN LEADERSHIP DEVELOPMENT REGISTRATION FORM 2017-2018 Teen First Name Last Name Please select the program(s) that you are wanting to register for the 2017-2018 school year and include your deposit(s)

More information

University of Portland. International Travel Acknowledgement of Responsibility, Express Assumption of Risk, and Release of Liability

University of Portland. International Travel Acknowledgement of Responsibility, Express Assumption of Risk, and Release of Liability University of Portland International Travel Acknowledgement of Responsibility, Express Assumption of Risk, and Release of Liability TRIP TITLE AND DATE For the benefit of the University of Portland (the

More information

Morse Summer Music Academy 2018

Morse Summer Music Academy 2018 The faculty and staff of the Morse Summer Music Academy are committed to ensuring an environment for all students that is safe, respectful, and conducive to learning and musical expression. The following

More information

Tropical Sea Kayaking Terms & Conditions

Tropical Sea Kayaking Terms & Conditions Tropical Sea Kayaking Terms & Conditions NOTE: PASSPORTS ARE MANDATORY FOR ALL AGES AND CANNOT EXPIRE WITHIN 6 MONTH OF YOUR ARRIVAL DATE OR YOU MAY BE REFUSED ENTRY INTO COSTA RICA/PANAMA In all cases,

More information

Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP Day Camp

Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP Day Camp Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP 2016-2017 Day Camp Contents Here s To A Great Winter! Theme Weeks Program Fees/Camp Details & Check In and Out Procedures

More information

Savannah Police Department 2018 PAL Youth Summer Camp Boys: June 18th 22 nd, July 9th 13 th Girls: June 25th 29th, July 16th 20th Application Form

Savannah Police Department 2018 PAL Youth Summer Camp Boys: June 18th 22 nd, July 9th 13 th Girls: June 25th 29th, July 16th 20th Application Form Savannah Police Department 2018 PAL Youth Summer Camp Boys: June 18th 22 nd, July 9th 13 th Girls: June 25th 29th, July 16th 20th Application Form The Savannah Police Department will be sponsoring a summer

More information

(Student Last name, First name Middle Initial).

(Student Last name, First name Middle Initial). 2013-14 (Student Last name, First name Middle Initial). Consent for Field Trip (P1a) DHS Band Combined Form P1a, P1b, P1c I hereby consent for the above named student to participate in athletic team, band,

More information

The following information is attached and required in order to begin volunteering at Saint John s:

The following information is attached and required in order to begin volunteering at Saint John s: Thank you for your interest in volunteering at Saint John s Program for Real Change. Volunteers are the lifeblood of our organization, giving hundreds of hours each month so we may continue our mission

More information

CHALLENGER WORLD TOURS (CWT)

CHALLENGER WORLD TOURS (CWT) CHALLENGER WORLD TOURS (CWT) TRAVELER REGISTRATION DOCUMENT & TERMS AND CONDITIONS Mail, Fax or Scan/Email To: Challenger World Tours Attn: Gareth Hughes 8263 Flint, Lenexa, KS 66214 USA Phone: 800-878-2167

More information

Be A Paleontologist For A Week!

Be A Paleontologist For A Week! Be A Paleontologist For A Week! Join Science Center staff as we trek to eastern Montana to experience life as a paleontologist! During the week you will prospect for fossils of both dinosaurs and other

More information

Terms & Conditions for MICHELIN Tasty Drive Promotion ( the Promotion )

Terms & Conditions for MICHELIN Tasty Drive Promotion ( the Promotion ) Terms & Conditions for MICHELIN Tasty Drive Promotion ( the Promotion ) 1. PROMOTION DETAILS AND ELIGIBILITY 1.1 The promotion is titled MICHELIN Tasty Drive Promotion and is organised by MICHELIN ROH

More information

Tarrant County College South Campus Generation Hope Student Application

Tarrant County College South Campus Generation Hope Student Application Tarrant County College South Campus Generation Hope Student Application Requirements FOR NEW APPLICANTS: Parental Permission Completed application 1 Essay 2 Teacher Recommendation Copy of last year s report

More information

SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2017 EcoRangers Application, Health Form/Consent, and Liability Waiver

SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2017 EcoRangers Application, Health Form/Consent, and Liability Waiver SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2017 EcoRangers Application, Health Form/Consent, and Liability Waiver CAMP SESSIONS AND COSTS LISTED ON PAGE 2 APPLICATION DUE DATE: JUNE 23, 2017 Application

More information

SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2019 EcoRangers Application, Health Form/Consent, and Liability Waiver

SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2019 EcoRangers Application, Health Form/Consent, and Liability Waiver SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2019 EcoRangers Application, Health Form/Consent, and Liability Waiver CAMP SESSIONS AND COSTS LISTED ON PAGE 2 APPLICATION DUE DATE: JUNE 21, 2019 Application

More information

MCC Summer Camp Application

MCC Summer Camp Application MCC Summer Camp Application Summer Camp Enrollment Guidelines Applicants are considered on a first-come, first-serve basis. Only complete application packets are considered. A complete application packet

More information

Youth Camp Waiver RELEASE, WAIVER OF LIABILITY, COVENANT NOT TO SUE AND LIKENESS RELEASE

Youth Camp Waiver RELEASE, WAIVER OF LIABILITY, COVENANT NOT TO SUE AND LIKENESS RELEASE Youth Camp Waiver RELEASE, WAIVER OF LIABILITY, COVENANT NOT TO SUE AND LIKENESS RELEASE (READ CAREFULLY BEFORE SIGNING) I,, hereby acknowledge my awareness that my child s participation in the University

More information

The SPCA Eastern Shore offers two main areas of volunteer opportunity. You may choose to participate in more than one area.

The SPCA Eastern Shore offers two main areas of volunteer opportunity. You may choose to participate in more than one area. SPCA Eastern Shore VOLUNTEER APPLICATION VOLUNTEER INFORMATION Name: Street Address: City/State/Zip: Phone: Email Address: Emergency Contact: Age: 18-30 31-40 41-55 55+ How Did You Hear About Our Volunteer

More information

Jackson County 4-H Member Enrollment Form Fair Eligibility Deadline February 15, 2019

Jackson County 4-H Member Enrollment Form Fair Eligibility Deadline February 15, 2019 Jackson County Extension Service 569 Hanley Road, Central Point, OR 97502 541-776-7371 Family Information: Make check payable to: OSU Extension Service Jackson County 4-H Member Enrollment Form Fair Eligibility

More information

Pre Health Professions Conference Saturday, March 4, Registration Form Spots are limited and on a first come first serve basis

Pre Health Professions Conference Saturday, March 4, Registration Form Spots are limited and on a first come first serve basis Office of Diversity and Inclusion Pre Health Professions Conference Saturday, March 4, 2017 Registration Form Spots are limited and on a first come first serve basis Please Note: Registration is not complete

More information

FACULTY-LED STUDY ABROAD PROGRAM APPLICATION

FACULTY-LED STUDY ABROAD PROGRAM APPLICATION FACULTY-LED STUDY ABROAD PROGRAM APPLICATION Country of Study: Dates of Travel: I. PARTICIPANT INFORMATION Name: Street Address: City: State: Zip Code: Date of Birth: Passport #: Country of Citizenship:

More information

Vapor Ministries Trip Application Form

Vapor Ministries Trip Application Form Vapor Ministries Trip Application Form Name/date of Vapor trip you are applying for Applicant Information Legal Name (as it appears on passport) Name you prefer to be called Date of birth Gender (please

More information

* The client is the company or person who has signed the Charter Agreement and who is responsible for all payments due to M/V Evolution.

* The client is the company or person who has signed the Charter Agreement and who is responsible for all payments due to M/V Evolution. Payment and cancelation BOOKING & CANCELLATION POLICIES CHARTERS Important: M/V Evolution will not confirm a Charter booking unless the client* has sent the signed Charter Agreement to their respective

More information

This Agreement is executed by ( Participant ) and, if Participant is under eighteen (18) years of age, by Participant s Parent or Legal Guardian

This Agreement is executed by ( Participant ) and, if Participant is under eighteen (18) years of age, by Participant s Parent or Legal Guardian CUA FIELD HOCKEY CLINIC AGREEMENT AT THE CATHOLIC UNIVERSITY OF AMERICA This Agreement is executed by ( Participant ) and, if Participant is under eighteen (18) years of age, by Participant s Parent or

More information

St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01)

St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01) St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01) Please make checks payable to St. Cloud Rugby Steelhead Player Full Name: Shorts Size needed (circle one, shorts are men s sizes): Small

More information

WAVE START TIME: 10:00AM 11:00AM 12:00 (Check in 8:30am 9:20am) (Check in 9:30 10:20am) (Check in 10:30 11:20am)

WAVE START TIME: 10:00AM 11:00AM 12:00 (Check in 8:30am 9:20am) (Check in 9:30 10:20am) (Check in 10:30 11:20am) EVENT DETAILS PLEASE PRINT CLEARLY AND FILL IN EACH SECTION Official Entry Form Sydney 6 August 2017 Sydney, Newington Armory, Sydney Olympic Park. Download and complete your entry form. Bring it along

More information