Junior Young Friends Conference Registration

Dates and addresses for the JYF Conferences for 2016-2017 are:
 
October 22 - 23
Location to be announced
 
 
December 10 - 11
Location to be announced
 
 
March 4 - 5
Location to be announced
 
 
May 5- 7
Catoctin Quaker Camp
 
Thurmont, MD
Financial Aid: To request financial aid email Jossie at youthprograms@bym-rsf.org. Do not register online.
 
 
 
Conference Dates ($40.00 per conference)
Academic Grade
Enter amount in dollars (numbers only)
Dietary Preference
My Medical Form is
My emergency contact information has changed
My medical history and information has changed
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Current insurance information/card is on file
I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or other, and assume full responsibility for my participation.
I willingly agree to comply with the Gathering Expectations. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring the issue to the attention of the FAPs and/or the Youth Programs Manager immediately.
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, whereby release, indemnify, and hold harmless the Baltimore Yearly Meeting of the Religious Society of Friends, Inc. their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity, with respect to any and all injury, disability, death, or loss or damage to person or property associated with my presence or participation, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law.
I understand transportation to and from conferences is my responsibility and release BYM, staff, and volunteers from responsibility unless transportation is provided by the program.Furthermore, I will notify the Youth Programs Manager in advance if my arrival and departure times are outside the designated conference schedule.
I understand and agree that photographs of myself/my child may be printed in promotional materials. I further understand and agree that my/my child’s likeness, in photographs or videos, may appear on a webpage or webpages produced by Baltimore Yearly Meeting and that such webpage(s) will be accessible via the Internet. I agree that any materials produced pursuant to this release may be used, in whole or in part, without inspection or further consent or approval by me, of the finished product or any use of said materials or product by BYM Youth Programs.
Name of Participant and current age
I hereby give permission for my child named above to attend the above named Junior Young Friends Conference. I give the Baltimore Yearly Meeting staff and its volunteers permission to obtain emergency medical attention as needed, and will be responsible for costs incurred for any medical treatment. In the event that my child needs medication and it unable to administer it, I give permission for a staff member or volunteer to do so. I hereby release Baltimore Yearly Meeting, its staff, and its volunteers from liability for any injury or illness my child may sustain during such an event. If my child is taking presecribed medications, I understand that it is their responsibility to take the correct dosage at the correct time. Failure to do so will result in their being asked to leave the conference immediately and I will be responsible for arranging their immediate pickup.
Enter "N/A" if over 18
Name of Parent/Guardian
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