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Passion Conference Trip 2022 on Saturday, January 1, 2022 @ 8:00 AM

350.00

IMPORTANT NOTE: To secure your spot on the CAM Passion Conference Trip you must submit your payment. Payment is DUE by December 15, 2021. The trip price of $350 includes: Conference Ticket, Conference Materials, Travel (Round-trip road trip to Atlanta, GA from Madison, WI), Hotels, and several meals while at the Conference. If cost is a concern, please reach out to CAM staff to discuss payment options.:
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*Your gender::
*Do you plan to leave a vehicle at Blackhawk Church?:
*Are you willing/would you like to be authorized to drive the rental vehicles?:
If you are attending the Passion Conference Trip with any individuals that you would like to room with in the hotel, please list their names below. Recognize these are only requests.:
Your roommate requests::
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RELEASE & WAIVER OF LIABILITY, ASSUMPTION OF RISK & INDEMNITY AGREEMENT

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The following is a liability waiver. By signing the waiver, you are waiving your right to sue or otherwise claim that Blackhawk Church is liable for any injuries or other damages you might suffer during this event/activity that are a result of an accident or your own negligence. The waiver does not release Blackhawk Church from potential liability for injuries or other damages resulting from Blackhawk Church's intentional or reckless acts. Please read the waiver carefully before signing.:
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IN CONSIDERATION of access to and participation in Passion Conference Trip hosted by Blackhawk Evangelical Free Church (the “Host”), in Atlanta, GA, from Jan. 1, 2022 - Jan. 5, 2022, EACH OF THE UNDERSIGNED, for himself/herself, his or her personal representatives, heirs, and next of kin::
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1. HEREBY WARRANTS AND REPRESENTS that: (i) he or she understands that the particular event/activities which he or she may participate in involve [i.e. transportation, vigorous physical exercise, including by way of example running, sports activities, and prolonged or peak physical activity], (the “Event/Activities”); (ii) he or she understands that there are significant risks associated with participation in the Event and the Activities, including by way of example the possibility of serious injury or death caused by [i.e. transportation, falling, exertion, or physical activity]; (iii) he or she understands that the Event/Activities may or may not be supervised by the Host’s employees or agents; (iv) he or she understands that emergency care may not be immediately available in the event of an injury or health event during the Event/Activities; and (v) he or she is in sufficient physical condition and is physically able to undertake all Activities related to the Event; has no disability, impairment or ailment preventing him or her from active or passive exercise, or that will be detrimental to his or her health, safety, comfort or condition if he or she does so engage or participate.:
*Participant initials, 1::
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2. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the Host or its Elders, staff, sponsors, directors, officers, agents and employees, all for the purposes herein referred to as “Releasees,” FROM ALL LIABILITY, TO THE UNDERSIGNED, his or her personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT/ACTIVITIES, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE (BUT NOT INCLUDING INTENTIONAL OR RECKLESS ACTS OF THE RELEASEES).:
*Participant initials, 2::
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3. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST he or she may incur arising out of or related to THE EVENT/ACTIVITIES WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE (BUT NOT INCLUDING INTENTIONAL OR RECKLESS ACTS OF THE RELEASEES).:
*Participant initials, 3::
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4. HEREBY ACCEPTS THE RISK AND ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to THE EVENT/ACTIVITIES whether caused by the NEGLIGENCE OF RELEASEES or otherwise (BUT NOT INCLUDING INTENTIONAL OR RECKLESS ACTS OF THE RELEASEES), and furthermore acknowledges, pursuant to the recreational activities statute, Wis. Stat. § 895.525, that he or she has a responsibility to act within the limits of his or her ability, to heed all warnings regarding participation in the recreational activity, to maintain control of his or her person and any applicable equipment or devices, and to refrain from acting in any manner that may cause or contribute to death or injury for himself or herself or to other persons.:
*Participant initials, 4::
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5. HEREBY acknowledges that prior to signing this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement, he or she had the opportunity to contact a representative of the Host to discuss and/or bargain regarding any of the terms set forth herein.:
*Participant initials, 5::
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I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.:
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*Participant Signature::
typing your name serves as your signature: