Quest Week Registration 2024

Quest Week is for students that have completed 5th or 6th grade.

Child's Name

Date of Birth

Parent/ Guardian Name

Relationship to Child

This address will receive a confirmation email

Phone

Address

Emergency Contact

Emergency Contact Phone

Home Church if Applicable

Last Grade Completed

5th Grade 6th Grade

School Child is Attending Fall 0f 2024

Do you have friends you would like to be placed with? We will do our best to group selected friends together in the same small group, but we cannot promise all requests will be possible.

Allergies or other Medical Conditions

In the event of an emergency, or a situation that is reasonably considered to be an emergency, I, the parent/guardian give permission to Redeemer Church to seek and authorize emergency medical care to be given to my child named above.

Yes No

Is your Child Special Needs? If so, please list any information we may need to know to help your child have a great Quest Week experience.

T-Shirt Size

Youth Medium Youth Large Adult Small Adult Medium Adult Large

On Thursday, students will participate in a scavenger hunt, including an adventure off campus. Volunteers (2 per vehicle) will take groups of 3-5 depending on vehicle size to different locations. In order for your child to participate, please complete the transportation liability waiver below:

I, the undersigned parent or legal guardian of the child named below, do hereby grant my permission and consent for the said child to attend and participate in the events and activities of Redeemer Church Student Ministry, both on and off church grounds, including the necessary transportation to and from these events and activities. I further agree not to hold Redeemer Church/Redeemer Church Student Ministry or any of its paid staff or volunteers responsible for any accident that may occur on the way to, from, or during an event. I indemnify, defend, and hold harmless Redeemer Church for all claims made and liabilities assessed against them as a result of any activity or event. I release Redeemer Church and all medical providers from liability in acting on my behalf in this regard and rendering such medical treatment. I assume the risk and financial responsibility for any injury resulting from an event or activity. By select

Yes No

Redeemer Church has my permission to use my or my child’s photograph publicly to promote the church and/or Quest Week. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of use.

Payment $35

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Quest Week Registration 2024

Description

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