ASCEND 2020 | REGISTRATION

ASCEND 2020 | REGISTRATION
Full Name *

First Name Last Name
Sex *

Male Female
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
Birth Date *

Month Day Year
Information will be saved for future reference after submitting details on the next page.

In what capacity will you be attending ASCEND 2020? *

Student SPO staff Campus Ministry Staff Clergy/Religious SPO Alumni
College/University *
If you are not a student, what college/university are you most closely associated with?
What college year are you in?

Medical Information

Your health is very important to us. We want to be sure that we can serve you well during our program. The information provided will be handled confidentially.
Do you have any physical impairments and/or limitations, or require special assistance to attend/participate in ASCEND? *
If yes, please provide details here. You will be contacted by a member of staff to discuss your specific needs.
Do you have any food or medical allergies? *
If yes, please explain:
Emergency Contact Information
In an emergency, please contact: *
Phone number: (cell or home) *
Relationship to registrant: *

Assumption of Risk/Release of Liability
Assumption of Risk/Release of Liability *

By checking this box, I understand and agree that ASCEND 2020 on Jan 2, 3, 4, 5, 6 held at the Wyndham Orlando Resort in Orlando, Florida and hosted by St. Paul's Outreach, Inc. of which I am a participant, involves certain risks and that, regardless of the precautions taken by the above organization, some bodily injury may occur. Specific risks/hazards involved in the above event include, but are not limited to the following: Driving to and from the conference, injuries that occur during activities, and possible allergic reactions to food or insect bites. By checking this box and knowing this information, in consideration of my participation in the above event, I expressly and knowingly release St. Paul's Outreach, Inc. , Wyndham Orlando Resort and their officers, agents, representatives, advisors, directors, family members, volunteers, helpers, partners, organizational members, associates and employees, and the Diocese of Orlando, Florida, its officers and employees, from any and all claims and causes of action for property damage, personal injury or death sustained by me arising out of any travel or activity conducted by or under the auspices of the above organizations caused by risk associated by this activity and /or the negligence of the sponsoring groups. Finally, by checking this box I voluntarily and knowingly agree to defend, protect, hold harmless, and fully indemnify, St. Paul's Outreach, Inc. , Wyndham Orlando Resort, the Diocese of Orlando, its officers, agents, representatives, advisors, directors, family members, volunteers, helpers, partners, organizational members, associates and employees against all claims, demands, or causes of action for property damage, personal injury, or death, arising from the negligence or fault of the above named, including defense costs and attorney fees arising out of my participation in the above event of the above organization. Additionally, I agree to defend, protect, hold harmless and fully indemnify Saint Paul’s Outreach, Wyndham Orlando Resort the Diocese of Orlando for any claim or cause of action whatsoever arising out of ASCEND 2020 which takes place during the above identified dates of Jan 2, 3, 4, 5, 6 that is brought against St. Paul's Outreach, Inc. , Wyndham Orlando Resort, the Diocese of Orlando by me or a family member whether such claim arises from the alleged negligence of St. Paul's Outreach, Inc. , Wydham Orlando Resort, the Diocese of Orlando, its employees or agents or my negligence. If any portion of this agreement is held invalid, it is agreed that the balance thereof, shall continue in full legal force and effect.

Payment
STUDENT Conference Registration

Your own room (1 king bed) - $640 (Limited Availability) 2 sharing (2 full beds) - $540 (Limited Availability) 3 sharing (1 king bed + rollaway) - $440
NON-STUDENT Conference Registration

Your own room (1 king bed) - $740 (Limited Availability) 2 sharing (2 full beds) - $640 (Limited Availability) 3 sharing (1 king bed + rollaway) - $540
You can opt to pay a $100 non-refundable deposit now and complete your payment later.

If you choose this option, you will receive a Paypal invoice with the remainder of your fee, due by Jan 2.
I would like to pay a $100 non-refundable deposit now & complete my payment later
Roommate Preference
If you have 1 or 2 people you'd like to room with, please write their names. We'll do our best to accommodate your request!
Coupon Code
Price of Registration BEFORE Coupons
Price of Registration AFTER Coupons
Price of T-shirt
Amount Due (including T-shirt)
Amount due to PayPal

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USD You will be redirected to Paypal to pay the above fee.

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By clicking the yellow button below, you will be redirected to Paypal where you will be able to pay the conference fee via debit/credit card (scroll down to the grey button on the popup page), or your Paypal account.

Please note: we do not receive your registration information until your payment has been processed.

If you cannot afford the cost of the conference, please contact lizzie.gross@spo.org.
By clicking the Submit button, you will be registered for ASCEND 2020!

We are so excited to have you join us!
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ASCEND 2020 | REGISTRATION

Assumption of Risk/Release of Liability

Payment