Fall Conference Youth Activities

Registered youth workers will be available to care for children in grades K-5 in a room separate from the conference hall during the fall conference business sessions on Saturday, Nov. 7 at SVSU (9:00am to 12:00pm and 2:00pm to 5:00pm). Please register youth using the form below by October 31, 2026.

Fall Conference Youth Activities Registration

"*" indicates required fields

Adult Name*

First Last

Phone*

Email

How many children would you like to register?*

Select Number12345

First Child

Name*

First Last

Grade*

Select GradeKindergarten1st2nd3rd4th5th

Please describe any allergies, behavior or emotional concerns, or special accommodations needed for this child.

Second Child

Name*

First Last

Grade*

Select GradeKindergarten1st2nd3rd4th5th

Please describe any allergies, behavior or emotional concerns, or special accommodations needed for this child.

Third Child

Name*

First Last

Grade*

Select GradeKindergarten1st2nd3rd4th5th

Please describe any allergies, behavior or emotional concerns, or special accommodations needed for this child.

Fourth Child

Name*

First Last

Grade*

Select GradeKindergarten1st2nd3rd4th5th

Please describe any allergies, behavior or emotional concerns, or special accommodations needed for this child.

Fifth Child

Name*

First Last

Grade*

Select GradeKindergarten1st2nd3rd4th5th

Please describe any allergies, behavior or emotional concerns, or special accommodations needed for this child.

Photo Release (Optional)*

I will consent to a photo release for my child.

I do not consent to a photo release. Images of my child may not be released or distributed.

Photo Release – I hereby give consent to and authorize the taking of photographs or videotape in which my child, the camper named above, may appear and circulate same for any and all official resource, use or purpose including print, film or electronic reproduction of every description. I hereby waive all right of privacy in and to any said pictures or tapes by signing my name below.

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Waiver & Release of Liability – Waiver and Release of Liability In consideration for acceptance for my participation in the Event, or as parent/guardian of the Registrant, I do for myself and on behalf of the Registrant, if said Registrant is not 18 years of age or older (19 in Alabama, Alaska, Wyoming and Nebraska, 21 in Pennsylvania, Puerto Rico, Mississippi and Colorado), hereby release, forever discharge and agree to hold harmless Community of Christ and its affiliated organizations, lessors, lessees, officers, representatives, subordinate units, contractors, campgrounds, Event directors, staff, priesthood, agents, volunteers, participants, and employees thereof from any and all damages (including consequential damages), liability, claims, judgments, penalties, obligations, fines, causes of action, demands, losses, costs, and expenses (including without limitation reasonable attorneys’ fees and court costs) for personal injury, sickness or death based upon ordinary negligence, as well as property damage and expenses of any nature whatsoever which may be incurred by the parent/guardian and the Registrant occurring while Registrant is participating in the Event or arising thereafter, and further agree to hold harmless and indemnify said organizations and their lessors, lessees, officers, representatives, subordinate units, contractors, campgrounds, Event directors, staff, priesthood, agents, volunteers, participants, and employees for any liability sustained by them as the result of the negligent, willful or intentional acts of said Registrant during the Event, including expenses incurred attendant thereto.*

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Emergency Contact*

First Last

Emergency Contact Phone*