Summit Weekend 2019

Summit Weekend 2019

Friday, February 22, 2019, 6:00 PM - Sunday, February 24, 2019, 12:00 PM

Group: Middle School, High School

Cost: $75.00

Summit Weekend is our new version of D-Now weekend. This weekend is a chance for us and our students to reach as many teenagers as we can for the Gospel!

Similar to D-Now, students will be staying in host homes, and participating in some awesome events at the church. We have so many new and exciting surprises that have never before taken place here at Cypress. WE CANNOT WAIT AND YOU DON'T WANT TO MISS IT!

Sign up starts the first week of December. Sign up here or at the front office! Deadline to register is February 10.

Summit Weekend 2019 Registration

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Parent's Address*

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STUDENT INFORMATION

Student's Address*

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MAY ALSO EMAIL COPY OF FRONT AND BACK OF INSURANCE CARD TO CSM@CYPRESSBAPTIST.ORG. MUST HAVE THIS ON FILE!

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This medical information is correct so far as I know, and the person herein described has permission to engage in all planned activities except as noted.*

EMERGENCY AUTHORIZATION

I hereby give permission to medical personnel selected by the participant's Church sponsor/his designee or church staff to order X-rays, routine tests and treatment for myself. In the event of an emergency and neither my primary contact nor secondary can be reached, I hereby give permission to the physician selected by the Authorized Agent to hospitalize, secure proper treatment, order injections and/or anesthesia and/or surgery to myself as named above.

I further authorize the release of the above medical information to appropriate medical personnel and/or the health coverage insurance company. In addition, I have, and do hereby, release Cypress Baptist Church, its employees or agents from liability associated with participating in a church activity.

I understand that if I do not have medical insurance, I, as the parent or guardian, will be responsible for any medical expenses in the event of a sickness and/or injury.

I understand that there are risks involved in taking part in recreation activities and other activities related to participation in youth functions.

EMERGENCY AUTHORIZATION*

I hereby give permission for my child to attend and participate in any and all activities sponsored by Cypress Baptist Church during SUMMIT WEEKEND 2019, including any activities which may be of a hazardous nature and/or include physical and/or strenuous activity, and assume all risk associated therewith. I certify that, to my knowledge, my son/daughter has not been exposed to any contagious disease within the past 30 days. In the event of an emergency wherein I cannot be reached, I hereby give my consent to medical, dental, and surgical treatment as needed in the judgement of the treating physician chosen by representatives of Cypress Baptist Church. I also give Cypress Baptist Church and its representatives permission to transport my child during SUMMIT WEEKEND 2019 activities, as well as at their discretion in case of emergency. I agree to pay all costs and expenses incurred in connection with such services rendered to my child and to pay any and all costs related to transportation to a medical treatment center is transportation is by ambulance or otherwise.

 

To the fullest extent permitted by law, I hereby agree to unconditionally release, waive, relinquish, covenant not to sue, defend, indemnify, and forever hold Cypress Baptist Church, its agents, and employees harmless from any and all liability, actions, claims, expenses, and damages on account of injury to my child, property, or death, which I now have or which may arise in the future directly or indirectly arising out of or in any way relating to the provision of medical treatment, transportation, or participation in SUMMIT WEEKEND 2019 and other associated activities of any kind or nature wherever or however the same may occur, whether in whole or in part from the negligent acts and/or omissions of Cypress Baptist Church.

 

I understand and will allow photos and videos of child to be taken while at SUMMIT WEEKEND 2019 to be used in any Cypress Baptist Church publication and that Cypress Baptist Church shall have the exclusive right to control and determine the use, display, performance, reproductions, and dissemination of such photos and videos. I also understand that publications of these photos may be accomplished electronically via the internet and that after publication, Cypress Baptist Church will be unable to prevent persons from gaining access to the internet, copying the photos and video from three, and subsequently using, altering, or republishing them without my consent. I waive any claim or damages against Cypress Baptist Church from unconsented use, alteration, or republishing of my photographs and video by third parties accessing the internet.

 

Also, though we do our best in the assignment of students in host homes, we only guarantee one of the students listed on the front. Lack of cooperation with Cypress Baptist Church and/or SUMMIT WEEKEND 2019 policies will result in my child returning home.

***All payments are non-refundable pending the discretion of Student Ministry Staff.

EVENT WAIVER RELEASE*

SCHOLARSHIP OPPORTUNITIES AVAILABLE

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Payments can be made here:

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