ONLINE REGISTRATION
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EVENT VENUE:
Jesus Is Lord Church - San Diego
1001 S. Harbison Avenue
National City, CA 91950

HOTEL RESERVATION:
Holiday Inn Express San Diego South-National City
1645 East Plaza Boulevard , National City, California 91950

Holiday Inn Express has given a Special Group Rate for JIL that will be available only up to Dec 24, 2019.  Each room only accommodates a max of 4 adults.  After the date, discounted rate and availability is not guaranteed so reserve your rooms as soon as you can. You can click the link below to reserve a room for your group.

LINK:.
https://www.hiexpress.com/redirect?path=hd&brandCode=EX&localeCode=en&regionCode=1&hotelCode=SANNC&_PMID=99801505&GPC=JLC&cn=no&viewfullsite=true
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WHICH EVENT(S) ARE YOU ATTENDING? Select All that Apply *
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NAME *
E-mail Address *
Phone Number *
AREA *
CHURCH *
MINISTRY INVOLVEMENT *
HEALTH AND MEDICAL INFORMATION
ALLERGIES/CHRONIC ILLNESS *
MEDICATIONS
Please list all medications (if applicable)
PERSON TO CONTACT IN CASE OF EMERGENCY
CONTACT NO. (FOR EMERGENCY)
LIABILITY RELEASE (PARENTAL CONSENT FOR 18 YEARS AND UNDER)
LIABILITY RELEASE/PARENTAL CONSENT *
I hereby consent and agree to participate in the overall activities of the JIL WUSA VISION CASTING & WIN Summit 2020. I understand that all reasonable safety precautions will be taken at all time by Jesus Is Lord Church and its agents during the events and activities. I authorize any treatment by an accredited hospital and/or physician as deemed necessary, and any information can be released on my behalf in case of an emergency. I understand the possibility of unforeseen hazards and know the inherent risks as well. I agree not to hold Jesus Is Lord Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form.
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E-SIGNATURE *
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