2008 Thanksgiving Getaway for International Students and Friends

Contact and School Information:

* First Name:

* Last Name:

If registering for a married couple, spouse's name:

* School (current or alum affiliation):

If you selected "other" please include your school name here:

* Your gender:

* Street Address:

* City

* State

* Zip

* Phone

* Email

Please check here if we can send retreat related information to the email address above.

Ride Information:

We will be organizing rides based upon your response. We'll email out ride assignments in the week before the getaway. Note: we usually err towards having a ride shortage, so please list the maximum number of people that can fit in your car.

* Do you need a ride? Can you offer one?

* Please estimate the earliest time you will be able to leave town on Wednesday, November 26:

If you've already made ride arrangements, or have special ride needs, please provide details:

Accommodation Information:

* How long will you be staying?

Both Nights

Wednesday night only

Thursday night only

* What kind of accommodation do you need?

Single

Married couple

Family with children, # of children

* Do you snore? (Honesty is helpful here!)

Payment Information:

All payments should be made at the retreat -- bring exact cash or (preferably) a check made out to "GSCF", and pay when you register on Friday night.

* What is your payment amount?

Single attender -- $45
Married couple -- $80

Enter amount here (no $ sign):

* Please estimate the earliest time you will be able to leave town on Wednesday, Nov. 26:

Are you able to donate a little extra ($10, $20, etc.) for students who can't afford the full price?
If yes, please fill in the amount here:

Important Info, Terms, and other such Necessities:

* Emergency contact name:

* Emergency contact number:

* Health Insurance Provider:

Special needs (including allergies, medical conditions, medications, food requirements). If you are a vegan or vegetarian, please note it here!

*

In order to make our lawyers happy, please read the following release statement and indicate your voluntary agreement with this statement at the end:

1. In consideration for being accepted and allowed to participate in this conference/project and activities associated with its program and location, I personally assume responsibility for my actions, and release InterVarsity Christian Fellowship/USA (hereafter InterVarsity), its Trustees, employees and agents from loss, injury or damage to myself or my property; provided that nothing contained herein shall excuse InterVarsity, its Trustees, employees or agents from responsibility to act with reasonable care for the safety of myself or my property.

2. I give permission to InterVarsity to be photographed, recorded, and/or video taped and to allow this material to be used for publicity.

3. I give permission to InterVarsity to obtain medical assistance in the event of an emergency. This permission will include the administration of medicines, surgical treatment, X-ray examination or hospitalization as might be ordered by a licensed medical doctor. I release and discharge InterVarsity, its trustees, employees, and agents from any liability for any first aid rendered or treatment performed pursuant to this consent.

4. I understand that InterVarsity has a hostage policy that states that InterVarsity should not yield to demands, including the payment of ransom or other extortion, issued through the use of hostage taking or extortion.

5. If I am under age 18, I state that I am a mature minor (of college age and living away from parent/guardian) and have the capacity to consent to the terms of this Release.

6. Any claim or dispute arising from or related to this release shall be settled by mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation, a division of Peacemaker Ministries (complete text of the Rules is available at www.HisPeace.org). Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction. I understand that these methods shall be the sole remedy for any controversy or claim arising out of this release and expressly waive my right to file a lawsuit in any civil court against InterVarsity for such disputes, except to enforce an arbitration decision.

7. I certify that I am competent to agree to this Release, and have done so voluntarily.

Yes, I agree to all of the above terms.

That's it! Just hit submit below:

* Indicates Response Required