Pastor’s Child Second Form | Youth For the Nations

GENERAL INFORMATION

Child's Name*

First Last

Gender*

MALE
FEMALE

Date of Birth*

Youth Pastor Name*

First Last

Church Name*

MEDICAL INFORMATION

Do You Have Any Medical Conditions We Should Be Aware Of?*

YES
NO

If So, Please Describe Below

Do You Have Any Allergies We Should Be Aware Of?*

YES
NO

If So, Please Describe Below

Do You Have Any Dietary Restrictions?*

YES
NO

Special Notes/Requests:

Liability Release

The portion below is a Legal Agreement and is ONLY to be filled out by the registrants' parent or legal guardian.

Legal Guardian Name

First Last

Legal Guardian Email Address*

Legal Guardian Cell Phone Number*

Legal Agreement*

YES
NO

By clicking "YES" above, you are agreeing to the following: Youth For the Nations, Christ For the Nations Inc., and all other affiliates of CFNI will not be held liable for any injuries that occur during the registrants' time of camp; You agree that any items lost or stolen are not CFNI or YFN's responsibility to find or replace; You are releasing Christ For the Nations Inc, Youth For the Nations, and all other affiliates of legal liability for any event that may take place during the registrants' time of camp; You are giving Youth For the Nations consent to make any medical decisions deemed necessary in the event of an emergency. Please click "YES" to agree.

E-Signature*

First Last

By E-Signing your name, you are agreeing to the terms above, as well as stating that all information in this form is accurate and up to date.

Pastor’s Child Information

GENERAL INFORMATION

MEDICAL INFORMATION

Liability Release