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2021 Youth Conference Registration

Register now for the 2021 Cartersville Stake Youth Conference!

When: July 30, 2021 - July 31, 2021
Where: Pine Acres Retreat | 3963 Bartow Carver Rd, Acworth GA 30102
Who: All Youth ages 14-18 (or turning 14 this year). Graduating Seniors may attend if desired.
Cost: FREE!
Registration Closes: June 1, 2021

Additional Information:
Young Women: The YW will be staying in cabins and should bring a sleeping bag and a pillow.
Young Men: The YM will be sleeping in small tents or hammocks in a separate area.

Drop-off and Pick-up opportunities will be limited.
Youth that do not want to spend the night may be dropped off between 8am-9am and picked up between 9pm and 10pm.

PARTICIPANT INFORMATION

Gender *
Registration Type *
Days Attending *
Primary Phone Type *
Secondary Phone Type
Address *
Address
City
State/Province
Zip/Postal

Primary Phone Type *
Secondary Phone Type

MEDICAL INFORMATION

Does the participant Require a Special Diet? *
Does the participant have any allergies? *
Is the participant taking any medication or over-the-counter (OTC) drugs? *
If yes, can the participant self-administer his or her medication?
If no, please contact the event or activity leader directly

PHYSICAL CONDITIONS THAT LIMIT ACTIVITY

Does the participant have a chronic or recurring illness? *
Has the participant had surgery or a serious illness in the past year? *

OTHER ACCOMMODATIONS OR SPECIAL NEEDS

PERMISSION AND MEDICAL RELEASE

Permission & Medical Release *
I give permission for my child/youth to participate in the event and activities listed above (unless noted) and authorize the adult leaders supervising this event to administer emergency treatment to the above-named participant for any accident or illness and to act in my stead in approving necessary medical care. This authorization shall cover this event and travel to and from this event.
The participant is responsible for his or her own conduct and is aware of and agrees to abide by Church standards, camp, or event safety rules and other pertinent instructions. Participants’ conduct and interactions should abide by Church standards and exemplify Christlike behavior.
Parents and participants should understand that participation in an activity is not a right but a privilege that can be revoked if they behave inappropriately or if they pose a risk to themselves or others.
Covid-19 Acknowledgement *
Under Georgia law, there is no liability for an injury or death of an individual attending this event if such injury or death results from the inherent risks of contracting COVID-19. You are assuming this risk by attending this event.

Electronic Signature Consent: The parties agree that this registration, permission, and medical release may be electronically signed. The parties agree that the electronic signatures appearing herein are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

 

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Countdown to Youth Conference: 110 Days 8 Hours 56 Minutes 51 Seconds
Register Now!