Dare2Share Registration

who: All Jr. High and High School Students

what: an event designed to teach students how to share their faith in Jesus Christ. We are very excited to offer this conference to all of our students this year to teach and inspire our students to build intentional relationships with those around them.

where: Pepsi Center, Denver CO and Southeast Christian Church (Friday night - camp out at the church upon return from conference).

when: November 9 & 10, 2007. Arrive at Southeast at 4:00pm on Friday. Buses leave at 4:45 pm sharp!

cost: Earlybird special is $43 until October 15. After that, the price goes up to $49/ticket. This price includes the cost of the conference as well as the cost of the buses we are using to get us downtown.

what to bring: Sleeping bags, pillow, overnight bag for Friday night camp-out at the church. Money for 3 meals (Friday night & Saturday lunch & dinner. We will provide breakfast on Saturday morning.

questions? contact Jerran Wolf, 720.842.5508 or Josh Weece, 720.842.5553 at Southeast Christian Church.

Registration:

General Information

Student's Name*

Grade

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Female

Address*

City*

State*

Zip*

Home Phone Number

Cell or Daytime Phone

Parent(s) Name*

Emergency Contact Name*

Emergency Contact Phone Number*

Email Address*

Medical and Liability Release

We realize that no activity is without the possibility of unforseen hazards which could result in injury to an individual. As a parent or guardian, you are to be aware of your responsibility to instruct your child of the importance of conduct which will insure safety and enjoyable time while participating in this activity. By clicking below, you, as a parent, guardian or other responsible party, agree to assume the risks and hazards which are inherent in this kind of activity. You also agree to absolve and hold harmless the sponsoring organizations and their representatives for damage, loss, or injuries to the child for whom you sign.

I further give my permission for the use of any photo or likeness of my child to be used by the sponsoring organizations for their use in promotional materials.

I give my child permission to participate in this activity, and give my permission to the leaders of this function to authorize any treatment deemed necessary by a licensed physician due to accident or illness during this activity.*

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Full Parent/Guardian Name*

Date*

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