Rejoice Ladies Retreat

Rejoice Ladies Retreat Information & Registration

Name *

First

Last

Date of Birth *

Are you under 18 years old? *

Do you have any infants or toddlers attending the retreat with you? *

Sending Church *

Phone *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

$50 Deposit Bank Transfer Receipt / Reference Number *

Retreat Medical and Permission Form

Please fill out this form. If the attendee has a condition that requires a management plan (such as allergies or asthma) we will request this information after this form is submitted.

Emergency Contact 1

Full Name: (Emergency Contact 1. ) *

Relationship with contact 1 *

Address of contact 1

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone number of contact 1 *

Emergency Contact 2

Full Name: (Emergency Contact 2.)

Relationship with contact 2

Phone number of contact 2

Address of contact 2

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Indemnity & Liability Exclusion Form

Before you, or your child attends Rejoice Ladies Retreat 2021 at Camp Duckadang, you must read and agree to the following terms and conditions. In these terms and conditions:

The Accommodation Provider: refers to either on campus accommodation where attendees will be staying.
Child: the child who is attending the Rejoice Ladies Retreat with your permission.
Rejoice Ladies Retreat: refers to the ministry operated by New Beginnings Baptist Church of Mango Hill.
Us/We: the team supervising the Rejoice Ladies Retreat at Camp Duckadang
You/Your: the person attending, or parent(s) or guardian(s) of the Child participating in the Rejoice Ladies Retreat 2021.

Exclusion of Liability - Risk

You acknowledge and agree that the Rejoice Ladies Retreat is a voluntary activity and that all aspects that you or your Child participates in, including the activities (whether on campus or off, scheduled or otherwise) and any associated travel are solely at your own risk. This includes all risks of illness, personal injury, loss of property or financial loss but is not limited to those losses.

Indemnities

You indemnify and keep indemnified the Rejoice Ladies Retreat and the Accommodation Provider, their employees and agents from all claims which may be brought against them arising from:

(a) any act or omission by you/ your child
(b) any damage or loss to any property caused by you/ your child;
(c) any injury to any person or the death of any person caused or contributed to by any act or omission by you/ your child; and
(d) any claim made against Rejoice Ladies Retreat, the Accommodation Provider or their employees or agents relating to you/ your child, or you/ your child’s property.

Authority to obtain medical assistance

You authorise Rejoice Ladies Retreat, the Accommodation Provider and their employees and agents to provide first aid to you/ your child, and You acknowledge that the provision of first aid is not an obligation. In addition, you authorise Rejoice Ladies Retreat, the Accommodation Provider and their employees and agents to obtain any medical treatment for the you/ your child they deem at their discretion appropriate and you agree to cover the costs of such medical treatment (if applicable).

You must ensure that yours/ your child’s health is suitable for participating in Rejoice Ladies Retreat and where you advised us of yours/ your child’s health or medical conditions as part of the application process, you acknowledge and agree that that information will be used so that we may be best informed to assist you/ your Child should a health or medical situation arise (for example food allergies or pre-existing medical conditions such as diabetes). While we will use this information to try and provide you/ your child with appropriate assistance, you acknowledge that Rejoice Ladies Retreat, the Accommodation Provider, their employees and agents do not accept any responsibility for the treatment or management of you/ your child’s health or medical issues.

STEP ONE: Pay $50 deposit

STEP TWO: Complete the following registration form