 Registration SAVE Leadership Training Retreat
January 16-17, 2000
Register: We are looking for 4 High School students from every
High School in the Columbia Basin.
| Name: |
| Home Phone |
| Address: |
| City,State, Zip: |
| School Attending and Grade: |
| Why do you want to attend the SAVE Retreat? |
| Email and URL Address |
Why do you want to attend the SAVE Retreat?
Do you have any special dietary needs or accommodations?
Volunteer and Participant Release
RELEASE OF LIABILITY
In consideration for acceptance, I hereby release and waive any claim, cause or action
which may accrue against SAVE, MAVIA, RECA, CUUC, any employee thereof, or any other
person acting with their permission, arising from injury during his/her working with
listed organizations, or during any activity approved by any of said persons. |
| Person/Guardian Signature |
Date: |
| Participants Signature |
Date: |
| MEDIA RELEASE SAVE, MAVIA, RECA and CUUC has my permission, (both
during and any time after), to use my likeness, name, voice, or words in either
television, radio, film, newspapers, magazines, Internet, and other media, and in any
form, for the purpose of advertising or communication the purposes and activities of SAVE,
MAVIA, RECA, and CUUC and/or applying for funds to support those purposes and activities. |
| Person/Guardian Signature |
Date: |
| Participants Signature |
Date: |
Send this Registration Form and signed Consent. We prefer to
communicate through e-mail and the web. Send registration information to inteam@jrsummit.net Forms are available off of web at
www.tcfn.org/save. You can e-mail
information and bring signed parent consent with you to the reatreat. Or you can fax your
information to 509-586-7576 or you can snail mail your information to SAVE registration %
RECA Foundation 1326 W. 7th Place J-1,Kennewick, WA 99336. |