Student Information

Please fill out for every student coming to the Merge Lock In. If you are over 18, please fill this form out for yourself. 

Parent/Legal Guardian Information

RELEASE OF LIABILITY, WAIVER OF ALL POSSIBLE CLAIMS, AND ASSUMPTION OF RISK
I give permission for child/children (identified as "Student" above) to attend and participate in the Merge Lock In retreat at Daystar Church, November 15-16, 2024 and any activities that the retreat might include. I authorize any of the youth leaders to act on my behalf in any emergency situation including those requiring medical attention. I understand that an event of this nature includes a certain amount of risk. I waive my legal rights to sue any staff, leaders, volunteers, facilities, Daystar Church, or any other participating churches for anything that might happen to myself, my child, and/or personal belongings while traveling and taking part in the Merge Lock In.

PHOTOGRAPHY CONSENT
I give permission to take and use my photograph and/or my child's/children's photograph for inclusion in public information and promotional materials produced by Daystar Church

NON-EMERGENCY MEDICATION CONSENT
I give permission for the camp nurse to give my child/children non-emergency medication such as Advil, Tylenol, Gravol, or Benadryl if needed

By signing this you are waiving your legal rights and you give up the right to sue.