WAPAC Main Event Student Registration 2019

If you are not planning on participating in any sport, activity, or talent, feel free to skip over those portions of the registration. You are more than welcome to just come and hang out with your church and district friends!

You may sign-up for Dodgeball and one of the following sports: Basketball, Soccer, Volleyball. If your church does not register a team, you will be placed on the WAPAC United Team.

You may sign up for 1 Activity in addition to any sports or talents. Activities will take place either on Friday Night and Saturday or just Saturday.

There are five Talent areas: (1) Music - Solo, (2) Music - Group (3) Performance, (4) Art, (5) Writing. Your participation is limited to 1 in each of the Talent areas.

This means you can do all 5 talent categories, but not more than one event in each.

Please review the individual Talent Category requirements for what to bring with you to registration on the day of the event!

Activities may include but are not limited to: soccer, dodgeball, ping pong, basketball, volleyball, 9 square, 4 square, games in the field, etc. Note: If you desire to limit your child’s participation in any event, please submit your wishes in writing to the church youth pastor prior to that event.

The above-listed participant has my permission to participate in all WAPAC Main Event activities sponsored by the Washington Pacific District Church of the Nazarene on the campus of Puyallup Nazarene Church from March 22nd through March 23rd.

This consent form gives permission to seek whatever medical attention is deemed necessary, and releases the Washington Pacific District Church of the Nazarene, Puyallup Nazarene Church, and their representatives of any liability against personal losses of named participant.

I/We the undersigned have legal custody of the child named above, a minor, and have given our consent for him/her to attend events being organized by the Washington Pacific District Church of the Nazarene. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Washington Pacific District Church of the Nazarene, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Washington Pacific District Church of the Nazarene, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the participant named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the youth ministries staff member.

Electronic Signature: please note that submitting your name below signifies your acknowledgement of the above information as well as signifies your electronic signature here for the below listed name.

Washington Pacific District Church of the Nazarene may publish photos and/or videos taken of participant and I release all rights to remuneration for such photos and/or videos.

I hereby certify that I am 18 years of age; I have carefully read the foregoing and acknowledge that I understand and agree to all the terms and conditions. I have had the opportunity to ask any and all questions regarding this Agreement and the effect of the same. I am aware that by signing this Agreement, I assume all risks and waive and release certain substantial rights that I have or possess.

Electronic Signature: please note that submitting your name below signifies your acknowledgement of the above information as well as signifies your electronic signature here for the below listed name.

Additional Indemnification for Parents/Guardians - Must be completed for participants under age of 18.

In consideration of the minor child listed above, participation in Washington Pacific Nazarene Camp activities, including the use of the campus of Puyallup Nazarene Church, equipment and facilities, I further agree to indemnify and hold Washington Pacific Nazarene District harmless from any and all claims which are brought by, or on behalf of Minor and which are in any way connected with such use or participation by Minor.

Electronic Signature: please note that submitting your name below signifies your acknowledgement of the above information as well as signifies your electronic signature here for the below listed name.

If you have any questions, please e-mail Pastor Jared Trygg at jtrygg@pnconline.org.