Transit Weekend

Transit Weekend

Fri, Mar 4, 2022 6:00 PM - Sun, Mar 6, 2022 11:00 AM
Woodstock City Church in Woodstock, GA

Non-Student Waiver

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Non-Student Registration

Basic Information

Church *

Registration Type *

Female Male

First Name *

Last Name *

Mobile Phone *

Ok to send event alerts via SMS/Text to the number above

Email *

Retype Email *

Date of Birth *

Marital Status *

Street 1 *

Street 2

City *

State *

Zip *

Grade *

Service Time *

This list filtered based on selections above. Small Group

Adult sizes T-Shirt Size *

Medical

I agree to the medical release.

View Medical Release

Medical Release

I have:

Medical conditions

No Yes

Medication regimens

No Yes

Life-threatening allergies

No Yes

Non-threatening allergies

No Yes

Dietary restrictions

No Yes

Gluten Free / Celiac Gluten Free Vegetarian Dairy Free Nut Allergy My dietary restriction is not listed.
NOTE: If your dietary restriction is not listed above you will need to bring your own food to this event.

Emergency Contact

(other than signer of this release)

First Name *

Last Name *

Phone *

Relationship *

Insurance

I do not have health insurance

Insurance Carrier *

Carrier Phone *

Policy Number/Group Number *

Retype *

Mr. Mrs. Miss

Policy Holder's First Name *

Policy Holder's Last Name *

Policy Holder's Employer *

This is a secure form.

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