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REFUEL (Youth Event)
Home
I'm New
WHAT TO EXPECT
WHERE TO PARK & ENTER
WHAT TO WEAR
WHAT ABOUT MY KIDS
LEADERSHIP
BELIEFS
OUR HEARTBEAT
What's Next
Baptism
Kids Ministry
PowerKidz
THE GAP
4BELOW
Girls Sleepover
The Ramp
Ministries
DEEP YOUTH
THE EDGE
LIFE GROUPS
Women's Bible Study Life Group
Men's Bible Study Life Group
Marriage Life Group
GOD'S CREW DANCE
Pinterest Life Group
LIFE CAFE
Ushering
Embrace Grace
Bowling night
Need Prayer
Testimony
Connect
PARKING
Membership
BUS MINISTRY VOLUNTEER CONNECT
PRAYER REQUESTS
CHILDREN'S VOLUNTEER CONNECT
CHOIR CONNECT
DANCE MINISTRY CONNECT
LIFE GROUP CONNECT
GET MORE INVOLVED
REFUEL (Youth Event)
THE DEEP YOUTH
COUNSELING
Couples Top Golf Night
Making Disciples That Make A Difference
THE RAMP
YOUTH CAMP IN HAMILTON, AL JUNE 26-28
TO ATTEND, FILL OUT THIS FORM AND PAY USING THE LINK BELOW
Student Name
*
First Name
Last Name
Student Date of Birth
*
MM
DD
YYYY
Student Mobile Phone Number
*
(###)
###
####
Parent/Guardians Name
*
First Name
Last Name
Parent/Guardians Mobile Phone Number
*
(###)
###
####
Parents/Guardians Email
*
Parents/Guardians Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
ACKNOWLEDGMENT OF RISK AND WAIVER OF LIABILITY
*
I, the undersigned, wish to voluntarily participate in The Ramp Youth Camp. In consideration for being permitted to participate in the The Ramp Youth Camp, in the city of Hamilton, Alabama beginning the 26th day of June, 2025, I, the undersigned, fully recognizing the dangers and hazards inherent in The Ramp Youth Camp and any related transportation, including personal injury, property damage, or wrongful death, as well as the unknown dangers and hazards which may arise in the course of my participation in The Ramp Youth Camp, do hereby voluntarily: Agree, for myself, my heirs and my personal representative, to defend, hold harmless, indemnify, release and forever discharge, to the broadest extent allowed by law, Life Church Family, its trustees, officers, employees, agents, insurers, successors, assigns, from and against any and all claims, demands, actions, or causes of action on account of any damage to real or personal property or any personal injury or death that may result from my participation in above The Ramp Youth Camp. I have read this release, I understand it fully, I understand that it is legally binding, and I understand that, among other things, I am agreeing to indemnify Life Church Family. , for injuries, damages or losses I may cause and giving up rights to sue Life Church Family for injuries, damages or losses I may incur.
CLICK TO SIGN (this serves as your legal signature)
PARENT/GUARDIAN CONSENT TO MEDICAL, DENTAL, OR HOSPITAL CARE
*
I consent to any x -ray examination, anesthetic, medical, or surgical diagnosis or treatment and hospital care under the general or special supervision and upon the advice of or to be rendered by a physician and surgeon licensed under the Medical Practice Act for my child. This authority also extends to any x-ray examination, anesthetic, dental, or surgical diagnosis or treatment and hospital care by a dentist licensed under the Dental Practice Act for my child. I further agree to pay all charges for the dental, medical, or hospital care or treatment. As parent or legal guardian of my child, I am responsible for the health care decisions of my child and am authorized to consent to the services to be rendered. I represent that my consent to and agreement to pay for the dental, medical, or hospital care or treatment to be rendered to my child is legally sufficient and that no consent from any other person is required by law.
Checking this box serves as my legal signature
Does this child have any allergies
*
Yes (if yes, list them in the text box below)
No
List any allergies they have.
Does this child have to take medication? If so, list it below.
*
Yes
No
List any medications your child is currently taking.
Thank you!