2022 Registration: Pastor’s Child Form

GENERAL INFORMATION

IS THIS CHILD REGISTERED WITH A CHURCH OR GROUP?*

CHURCH/GROUP

INDIVIDUAL

NAME OF CHURCH/GROUP*

NOTE: A group is considered to be 2 or more people. If you are attending YFN with friends or family and ARE NOT affiliated with a church or youth group, please type the name of the person that submitted your registration/deposit payment.

PLEASE READ:

Children under the age of 12 that are not attending YFN with a church or group are not able to attend YFN without a parent/legal guardian. Please contact our team if you have any questions.

REGISTRANT'S INFORMATION (CHILD)

CHILD'S NAME*

First Last

GENDER*

MALE

FEMALE

DATE OF BIRTH

AGE*

STREET ADDRESS*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MEDICAL INFORMATION

DOES THIS CHILD HAVE ANY MEDICAL CONDITIONS WE SHOULD BE AWARE OF?*

YES

NO

Examples: Epilepsy, Asthma, Arthritis, etc.

PLEASE DESCRIBE BELOW*

DOES THIS CHILD HAVE ANY ALLERGIES WE SHOULD BE AWARE OF?*

YES

NO

This includes food allergies // Examples: grass, nuts, dairy, etc.

PLEASE DESCRIBE BELOW*

DOES THIS CHILD HAVE ANY DIETARY RESTRICTIONS?*

YES

NO

Examples: Gluten-free, vegan, vegetarian, no tree nuts, no dairy, etc.

PLEASE DESCRIBE BELOW*

ADDITIONAL SPECIAL NOTES/REQUESTS

PARENT/LEGAL GUARDIAN INFORMATION

FULL NAME*

First Last

EMAIL ADDRESS*

PHONE NUMBER*

RELATIONSHIP TO CHILD*

PLEASE SPECIFY RELATIONSHIP TO CHILD*

WOULD YOU LIKE TO ADD A SECONDARY PARENT/LEGAL GUARDIAN'S INFORMATION?*

YES

NO

FULL NAME*

First Last

EMAIL ADDRESS

PHONE NUMBER*

RELATIONSHIP TO CHILD*

PLEASE SPECIFY RELATIONSHIP TO CHILD*

YFN 2022 LEGAL AGREEMENTS

The portion below contains information pertaining to Legal Agreements and is ONLY to be filled out by the registrant's parent or legal guardian.

MEDICAL RELEASE*

By e-signing and selecting "Yes" below, 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 or are sustained during the registrants' time at camp; You are giving Youth For the Nations consent to make any medical decisions deemed necessary in the event of an emergency during the duration of the registrants' time at YFN.

YES, I have read, understood, and agree to the terms above.

COVID-19 AGREEMENT*

By e-signing and selecting "Yes" below, you are stating that you (the registrant) are fully responsible for the risk of contracting the virus known as COVID-19 by attending this event/camp. You are also stating that you (the registrant) will terminate your registration to YFN 2022 if you or someone you have been in contact with within the 14 days leading up to your scheduled camp arrival has tested positive or has shown active symptoms of COVID-19.

YES, I have read, understood, and agree to the terms above.

LIABILITY RELEASE OF ITEMS*

I agree that any items lost or stolen are not CFNI or YFN's responsibility to find or replace. I release 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 registrant's time of camp.

YES, I have read, understood, and agree to the terms above.

FULL NAME OF SIGNING PARENT/LEGAL GUARDIAN*

First Last

SIGNATURE OF PARENT/LEGAL GUARDIAN*

YFN 2022 PASTOR’S CHILD FORM

GENERAL INFORMATION

PLEASE READ:

REGISTRANT'S INFORMATION (CHILD)

MEDICAL INFORMATION

PARENT/LEGAL GUARDIAN INFORMATION

YFN 2022 LEGAL AGREEMENTS